Latest subscriber newsletter stories

Distinguish among CPT codes for psychiatric care services

Read up on documentation requirements and CPT coding for psychiatric diagnostic evaluations and psychotherapy services.

A helping hand may sometimes run afoul of gift prohibitions

A case manager learns that a soon-to-be discharged patient’s electricity has been turned off for nonpayment and makes arrangements to have the bill paid and power restored. While this is clearly important to the patient’s health, it is also an example of how case managers may be unintentionally violating the law.

Electronic remittances: The source of truth for denials

Source: HIM Briefings

Objective information produced by electronic data is fast becoming an essential component of value-based care and permeates every component of the healthcare ecosystem. Learn how to use electronic remittances as a source of truth for denials.

HIPAA Q&A: What new OCR director brings, conducting mock OCR audits

Source: Briefings on HIPAA

Chris Apgar, CISSP, answers submitted questions on a variety of HIPAA topics.

Note from the instructor: Understanding Medicare inpatient Part A lifetime reserve benefit, Part II

Source: Medicare Insider

This week's note from the instructor reviews the inpatient Part A lifetime reserve days and the financial consequences for beneficiaries who elect not to use them.

Upcoming CMS Events

Tuesday, 12/14 - Town Hall Meeting on the FY 2023 Applications for New Medical Services and Technologies Add-On Payments

Product Spotlight

2022 OPPS Final Rule: Implementing the Latest CMS Changes

During this 90-minute webinar, expert speakers Jugna Shah, MPH, CHRI, and Valerie A. Rinkle, MPA, CHRI, will analyze the final rule and break down what these changes mean for hospitals. In addition to offering analysis of CMS’ lengthy annual rule, they will offer providers operational tips to help institute these changes and educate staff ahead of implementation. The presentation will be followed by a live Q&A..

This week in Medicare

This week's Medicare updates include the repeal of the MCIT and Definition of “Reasonable and Necessary” Final Rule, updates to surveyors regarding clearing the backlog of surveys due to the COVID-19 PHE, an advisory opinion involving a pain management company, and more!

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