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Latest subscriber newsletter stories
This month’s coding Q&A
Source: Briefings on APCs
Our coding experts answer questions about ICD-10-CM coding for pregnancy with unspecified anemia, CPT reporting for multiday EEGs, and more.  
Complex case: Managing a substance use disorder and cardiac disease
Source: Case Management Monthly
A case manager works with a patient with a history of substance use who has developed numerous heart-related health conditions.
Your biggest threat may be on the inside
Source: Briefings on HIPAA
Insider threats at healthcare organizations increased in 2020. Learn how to develop security practices to mitigate these threats.
Flowchart for appropriate use of modifier -XE
Source: HIM Briefings
Modifier -XE (separate encounter) is used to indicate a separate surgical operative session on the same date of service or a distinct encounter after the patient has left the hospital or changed status/locations within the facility. Use this flowchart to support accurate use as a template for your organization.
Note from the instructor: Multiple OIG reviews indicate continued concern about sleep study overpayments.
Source: Medicare Insider
This week's note from the instructor discusses coding, documentation, and billing requirements for polysomnography services in light of multiple recent OIG reviews of the topic. 
 

Upcoming CMS Events
Wednesday, 7/7 - HCPCS Public Meeting Day 1
Thursday, 7/8 - HCPCS Public Meeting Day 2
 

Product Spotlight

Get Proactive With Front-End Revenue Cycle Utilization Review

UR professionals can get ahead of the game by proactively implementing processes and education that will make sure patients are placed in the correct status from the beginning. In this 90-minute webinar, speakers Tiffany Ferguson, LMSW, CMAC, ACM, and Marie Stinebuck, MBA, MSN, ACM, will explain how UR can work with front-end revenue cycle processes and staff to develop successful programs.
 

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This week in Medicare

This week’s Medicare updates include download files for the 2022 ICD-10-CM codes, the July 2021 update of the Ambulatory Surgical Center Payment System, revised guidance on emergency preparedness requirements, and more!
 
 

What is Revenue Cycle Advisor?

Revenue Cycle Advisor combines all of HCPro's revenue cycle and Medicare regulatory and reimbursement resources in one place—whether you’re looking for information on billing, coding, CDI, case management, finance, or HIPAA.

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

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