CMS recently released its annual report of Health Insurance Exchange open enrollment, which revealed that open enrollment is down from 12.2 million in 2017 to 11.8 million for 2018.
Trouble viewing? See it online! Tuesday, April 10, 2018

News
Health Insurance Exchange enrollment continues to decline
Source: Revenue Cycle Advisor
CMS recently released its annual report of Health Insurance Exchange open enrollment, which revealed that open enrollment is down from 12.2 million in 2017 to 11.8 million for 2018.
Four tips for employer direct contracting
Source: HealthLeaders Media
Direct contracting deals between hospitals and health systems and employers are becoming more attractive as employers become more sophisticated about where the costs lie in healthcare.
 

Revenue Cycle Advisor Subscriber Content

How outpatient CDI departments can address risk adjustment and compliance challenges
Source: Revenue Cycle Advisor
The shift from fee-for-service to value-based programs for outpatient payment systems has increased the need for outpatient CDI staff to review documentation for pertinent clinical factors.
 

Daily Q&A
Q&A: Understanding case mix index
Source: ACDIS

Q: I’ve heard that an increase in the volume of surgical cases can increase a facility’s overall CMI and that when the volume of surgical cases is flat, movement in the CMI represents increasing complexity of patients cared for in that facility. Could you explain these concepts a bit more for me? 

Need expert advice?
Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.
 

Upcoming CMS Events
Wednesday 4/11 - Spinal Orthoses Referring Providers Comparative Billing Report Webinar
Tuesday 4/24 - CMS National Provider Enrollment Conference
Wednesday 4/25 - CMS National Provider Enrollment Conference
Monday 6/25 - Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes for the Clinical Laboratory Fee Schedule for CY 2019
 

Product Spotlight

Acute Kidney Injury and Acute Renal Failure: 2018 Coding, Criteria, and Classifications

Detailed knowledge of clinical criteria and documentation needs is imperative for accurately reporting acute kidney injury (AKI) and acute renal failure (ARF). Join expert speakers Sarah Humbert, RHIA, and Temeka Davis, RHIT, for this 90-minute webinar as they discuss recent ICD-10-CM coding changes and tips for reporting AKI/ARF.
 

    

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What's New

Mt. San Rafael Hospital: Leading the Way in Attestation

Learn how a rural hospital’s staff collaborated to address the difficult task of preparing for Meaningful Use requirements.
 
 

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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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