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Review CMS’ 2023 E/M revisions

CMS confirmed in the 2023 Medicare Physician Fee Schedule final rule that it will adopt the framework of the revised AMA E/M guidelines, including payment based on medical decision-making (MDM) or time, effective January 1, 2023. But the agency will diverge from the AMA on some points.

Review ICD-10-CM reporting for birth encounters

Source: HIM Briefings

Ensure you're on top of the latest ICD-10-CM rules for coding principal diagnoses for newborn encounters, conditions that may be community acquired or due to birth complications, common newborn conditions that are often coded incorrectly, and 2023 codes for newborn apnea that took effect October 1.

Technology can help to boost multidisciplinary discharge planning

Source: Case Management Monthly

Multidisciplinary rounds can help to improve communication and streamline discharge planning. Technology, when used correctly, can be a useful tool to support those efforts.

All in the data: OCR releases common HIPAA issues triggering enforcement

Source: Briefings on HIPAA

In September, the Office for Civil Rights (OCR) released its fall 2022 data for enforcement. Covered entities and business associates can review this data to determine areas that most commonly trigger enforcement on behalf of the government’s regulator for the HIPAA Privacy and Security rules.

CMS Events

No events currently scheduled.

Call for speakers: 2023 Revenue Integrity Symposium

Revenue integrity experts, we want to hear from you. The National Association of Healthcare Revenue Integrity (NAHRI) is currently seeking speakers for the 2023 Revenue Integrity Symposium, to be held September 18–19, 2023, in Charlotte, North Carolina. Click here to learn more about how to participate.

Product Spotlight

2023 OPPS Final Rule: CMS Adds New Provider Type and Addresses 340B Payments

During this 90-minute webinar, Kimberly Hoy, JD, CPC, and Camille Ruiz, RHIA, will explain the major changes for outpatient hospital payments and services coming in 2023 and beyond. They will provide actionable advice for revenue cycle departments to navigate these updates and help them prepare.

This week in Medicare

This week’s Medicare updates include the January 2023 OPPS update transmittal, a proposed rule on interoperability and improving prior authorization processes, billing instructions for home or residence services, 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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