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Establish a process for conducting targeted coding audits

Coding managers should not assume that they can review every coding guideline, Coding Clinic, or coding-related issue targeted by the Office of Inspector General. Review considerations for conducting focused internal and external audits.

Documentation for social determinants of health is falling short

Source: Case Management Monthly

For years, case management experts have been urging hospitals to capture the ICD-10-CM Z codes for social determinants of health SDoH. But the message doesn’t appear to be resonating.

Brush up on ICD-10-CM/PCS coding for cesarean deliveries

Source: HIM Briefings

A cesarean section is typically performed when complications from pregnancy make a traditional vaginal birth difficult. Review ICD-10-CM coding for common labor and delivery complications, and ICD-10-PCS coding for cesarean deliveries.

Eight challenges for maintaining HIPAA compliance

Source: Briefings on HIPAA

Jay Hodes, president of HIPAA compliance company Colington Consulting in Burke, Virginia, sees eight specific challenges organizations face when trying to comply with HIPAA regulations.

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 a revision to a transmittal on place of service codes for telehealth, an OIG review of outpatient outlier payments, updates to a handful of chapters in the Claims Processing Manual, 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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