Trouble viewing? See it online! Wednesday, May 12, 2021
 

Latest subscriber newsletter stories
Extended suspense periods and confusion over processes highlight opportunities to improve
Source: Briefings on APCs
Effective management of claim edits and denials is a cornerstone of a sound revenue cycle. See how your organization compares to others and what you can do to improve.
Review teams can help get status decisions right the first time
Source: Case Management Monthly
Inpatient or observation? Making this decision remains a considerable challenge at many hospitals—and when they get it wrong, it can also be a costly one.
Edit clarity: Answering NCCI and MUE questions
Source: HIM Briefings
National Correct Coding Initiative (NCCI) edits and Medically Unlikely Edits (MUE) can throw a wrench in the Medicare billing process, delaying appropriate revenue. Learn how to apply recent guidance and best practices to resolve challenging edits.
Bracing for potential records request change in the Privacy Rule
Source: Briefings on HIPAA
Read about changes that could be coming for covered entities regarding records requests.
Note from the instructor: CMS proposed updates for acute and long-term care inpatient hospital stays for FY 2022
Source: Medicare Insider
This week's note from the instructor is the first part of a review of the inpatient hospital payment and policy updates introduced in the FY 2022 Inpatient Prospective Payment System (IPPS) Proposed Rule.
 

Upcoming CMS Events
Wednesday, 5/12 - Office Hours: Primary Care First (PCF) Payers
Thursday, 5/27 - Medicare Shared Savings Program: Establishing a Repayment Mechanism Webcast
 

Product Spotlight

JustCoding's Inpatient Virtual Symposium

During JustCoding’s Inpatient Virtual Symposium, you can earn valuable CEUs and participate in Q&As with our expert speakers at the end of each day to get answers to your most pressing questions. Plus, you can network with your colleagues and peers through our easy-to-use conference platform!
 

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This week in Medicare

This week’s Medicare updates include an extension to the Comprehensive Care for Joint Replacement model, updates to payments for ambulance services during the PHE, increased payments for monoclonal antibodies, 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:
 

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