Monday, November 7, 2016

News

Release of Information Guidance Created More Confusion Than Clarity
Source: Medicare Compliance Watch
The Office for Civil Rights’ (OCR) guidance on patient access fees released earlier this year muddied the waters for providers and complicated the release of information (ROI) process, experts at the October 15–19 AHIMA national convention in Baltimore agreed.
Organizations Respond to Sepsis Changes
Source: ACDIS
October marked the eight month anniversary of the February release of the intellectually stimulating, yet controversial, third international consensus definitions for sepsis and septic shock (Sepsis-3). This new definition has generated significant discussions among those invested in ICD-10-CM-based documentation and coding integrity and compliance.
Innovative Approaches to Big Data and Analytics
Source: HealthLeaders Media
Healthcare organizations continue to make significant investments in big data and analytics programs.
 

Daily Q&A

Q&A: Morbid Obesity
Source: Medicare Compliance Watch
Q: Coding Clinic, Third Quarter 2011, p. 4 states: “…morbid obesity is a chronic condition and; therefore, can be coded as a secondary diagnosis without treatment.” (emphasis added) An article in the CDI Journal, “From the Forum: Manage denials for BMI morbid obesity,” seems to indicate that providers should document how the obesity affects patient care. What level of patient care needs to be documented?

Need expert advice?
Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.

 

Upcoming CMS Events

Tuesday, 11/15 - Quality Payment Program Final Rule Call
Wednesday, 11/16 - 2016 Hospital Appeals Settlement Call
Thursday, 12/1 - IRF and LTCH Quality Measure Report Call
 

Product Spotlight

The Chargemaster Essentials Toolkit

The Chargemaster Essentials Toolkit provides readers with the tools to optimize their chargemaster and use it as a powerful tool for ensuring accurate reimbursement and revenue integrity. Readers will also receive helpful downloadable tools such as a sample maintenance calendar, policies, and questionnaires for working with other departments.

 

    

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