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Clarify ICD-10-CM and CPT coding and billing for wound care

Hospital coding for wound procedures is notoriously difficult, as the process can seem as messy as the injuries themselves. Clarify wound documentation and guidance for reporting wound diagnoses and procedures using ICD-10-CM, CPT, and HCPCS Level II codes.

Assortment of SDoH terminology has the potential to confuse

Source: Case Management Monthly

You’ve likely heard of social determinants of health. But healthcare systems and policymakers have coined a number of other terms for similar concepts. This mishmash of terminology is a potential threat to making progress on these issues.

Target denial trends with data and collaboration

Source: HIM Briefings

Hospitals have made avoiding and managing denials a top priority, but for many their best efforts have yet to turn the tide. The quest to get ahead of denials and protect revenue has gained urgency as hospitals continue to cope with the financial impact of the COVID-19 pandemic.

Understanding the core components of a HIPAA audit and risk assessment

Source: Briefings on HIPAA

The Office of Civil Rights recently released a report on audits it conducted. It found that most covered entities (CE) failed to meet the requirements for selected provisions in the audit. One of the first steps to improving is learning more about audits and assessments, which are trouble spots for CEs.

EHR use discussion group

HCPro is looking to hear from revenue cycle, HIM, and revenue integrity professionals to learn how you're using EHRs at your facility to access regulatory and clinical information and guidance. To participate in an upcoming discussion group, please select an available date and enter your contact information on the following pages. As a thank you, participants will be given their choice of one free HCPro on-demand webinar. Sign up here.

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Product Spotlight

Medicare Advantage and the 2-Midnight Rule: Level the Field With Medicare Advantage Payers

During this 60-minute webinarwith live Q&A, expert speaker Jerilyn Morrissey, MD, will clear up confusion about the regulations and explain how to determine when the 2-midnight rule applies to Medicare Advantage payers. Morrissey will share tips on process improvements to reduce denials and support compliance.

This week in Medicare

This week's Medicare updates include the July 2022 update to the Outpatient Prospective Payment System, the withdrawal of the SUNSET final rule, an updated memo on reporting COVID-19 data for hospitals and critical access hospitals, and more!

What is Revenue Cycle Advisor?

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Don’t just read the news—read our in-depth expert analysis on the latest rules and regulations.

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