Latest subscriber newsletter stories

2021 E/M office visit guidelines: CPT errata reshapes coding with dozens of technical corrections

Laura Evans, CPC, and Julia Kyles, CPC, break down potentially confusing updates to the 2021 E/M guidelines, including new definitions for technical terms and revised guidance for reporting diagnostic laboratory testing with interpretation.

CMS seeks to improve access to mental health services

Source: Case Management Monthly

More people have gone without needed health services during the COVID-19 pandemic, and CMS is now trying to close that gap.

Key to success: Using denial volumes as KPIs

Source: HIM Briefings

CDI professionals are playing a larger role in denials management and appeals. Consider how using denials management as a key performance indicator (KPI) can strengthen CDI programs.

Hacking on the rise; how to prevent attacks

Source: Briefings on HIPAA

In July 2020, managed IT services provider Blackbaud disclosed it was the victim of an unnamed ransomware attack. The company paid the ransom, according to a January 14, 2021 report by the HHS Cybersecurity Program titled “Distributed Attacks and the Healthcare Industry.”

Note from the instructor: Compliance leaders and quality of care

Source: Medicare Insider

This week's note from the instructor looks at best practices for compliance officers in creating a plan to safeguard quality of care.

Upcoming CMS Events

Wednesday, 6/9 - 2021 Improvement Activities & Promoting Interoperability Performance Categories

Product Spotlight

Live Virtual Medicare Boot Camp®—Utilization Review Version

This boot camp is an intensive course focusing on the Medicare regulatory requirements for patient status and the role of the utilization review (UR) committee. Master Medicare rules for UR in just five 3-hour live online sessions. In 2020, CMS made significant changes to the inpatient-only list and continues to change its strategies for auditing patient status. Don’t become a target or leave money on the table—ensure the UR committee is ready to implement and leverage the regulatory requirements.

This week in Medicare

This week’s Medicare updates include a notice about the resumption of post-payment medical reviews, an OIG review of polysomnography services, a correction notice for the CY 2022 Medicare Advantage Program Policy and Technical Changes final rule, 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.

Click the links below to:

Career Center

Post your open positions or find your next career move with the HCPro Career Center.