Latest subscriber newsletter stories

Modifiers 101: CPT coding for multiple procedures, reduced and discontinued services

Several CPT modifiers have similar definitions, which can make distinguishing between them challenging. Review guidance for the appropriate application of modifier -51 versus -59 and discontinued service modifiers -52, -53, -73, and -74.

Overcoming unconscious bias: How to recognize and work past it

Source: Case Management Monthly

Case managers are charged with helping patients to navigate multiple challenges. But sometimes, their own preconceived notions may creep into care interactions and become a barrier.

Interoperability and patient access: Confusion about rules widespread

Source: HIM Briefings

A pair of new rules require organizations to meet specific interoperability and patient access requirements but confusion about the rules and low awareness of the requirements hampers compliance efforts. Learn how your organization's compliance and implementation efforts compare to peers.

Inside the HIPAA Safe Harbor law

Source: Briefings on HIPAA

H.R. 7898 became law on January 5, 2021, and amended the Health Information Technology for Economic and Clinical Health (HITECH) Act to require the secretary of HHS to consider certain recognized security practices of covered entities and business associates when making certain determinations, and for other purposes.

Note from the instructor: CMS expands coverage for new inpatient technologies in 2022 and beyond

Source: Medicare Insider

This week's note from the instructor looks at the various methods for payments for new technologies under the FY 2022 IPPS final rule.

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

The Social Determinants of Mental Health: Impact of the Pandemic and Beyond

The social determinants of health (SDoH) are an industry priority. Engage in a comprehensive webinar with Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, to learn the essential knowledge base to ensure a holistic health perspective, especially population health. Learn definitions and demographics, explore the evidence, and review reimbursement, resources, and initiatives.

This week in Medicare

This week's Medicare updates include a final decision memo on an NCD for home use of oxygen to treat cluster headaches, a notice about CMS exercising enforcement discretion for certain SNF consolidated billing provisions, an interim final rule on new policies against surprise billing, 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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