This week’s Medicare updates include additions to the OIG’s Work Plan and a request for information on an episode-based payment model.
Trouble viewing? See it online! Wednesday, July 26, 2023

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This month's coding Q&A
Source: Briefings on APCs
Our experts answer questions on social determinants of health coding in ICD-10-CM and applications for computer-assisted coding.
Sample utilization review guideline language for payer contracts
Source: HIM Briefings
Contract negotiations can make or break a hospital. In addition to setting the price list for services provided to the insurer’s members, the negotiations also affect the resources that the provider expends to comply with the contract terms. Use this sample language as a template for your organization.
Complex case: Helping a patient who lives in a remote area
Source: Case Management Monthly
Amanda, a surgical case manager, learns that her patient, Evan, lives in a region so remote that there are no home care services available to him.
HIPAA Q&A: Risk analysis, OCR hot ticket items, OCR audits, and more
Source: Briefings on HIPAA
Julia Huddleston, CIPP/US, CIPM, CCSFP, answers submitted questions on a variety of HIPAA topics.
 

CMS Events

Monday, August 21 - Tuesday, August 22 - Advisory Panel on Hospital Outpatient Payment
 

Product Spotlight

2023 Revenue Integrity Symposium

The Revenue Integrity Symposium is the premier event for revenue integrity, revenue cycle, and Medicare compliance education and high-level networking. Register now for this year’s event in Charlotte, North Carolina, from September 18–19.
 

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This week in Medicare

This week’s Medicare updates include additions to the OIG’s Work Plan, a request for information on an episode-based payment model, guidance on pre-entitlement 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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