CMS released the 2019 Notice of Benefit and Payment Parameters Final Rule on April 9 to give states additional flexibility when choosing benefits in essential health benefit benchmark plans offered under health insurance marketplaces.
Trouble viewing? See it online! Tuesday, April 17, 2018

News
States gain marketplace flexibility with 2019 Payment Notice final rule
Source: Revenue Cycle Advisor
CMS released the 2019 Notice of Benefit and Payment Parameters final rule on April 9 to give states additional flexibility when choosing benefits in essential health benefit benchmark plans offered under health insurance marketplaces.
Most Medicare telehealth claims fail documentation audit
Source: HealthLeaders Media
Medicare paid a total of $17.6 million in telehealth payments in 2015, compared with $61,302 in 2001, but a review found significant shortcomings in the documentation for the consultations.
 

Revenue Cycle Advisor Subscriber Content

Preparing for CMS’ 2019 rulemaking cycle
Source: Revenue Cycle Advisor
Providers should be preparing for another rulemaking cycle from CMS as we hit April, with the IPPS rule expected to include a discussion on how the existing payment system can address new and emerging cellular and gene therapies.
 

Daily Q&A
Q&A: Charging for canceled surgeries
Source: NAHRI
Q: Can you charge a canceled surgery if the patient is not taken to the procedure room?

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Upcoming CMS Events
Thursday 4/19 -  Special Open Door Forum: Templates and Clinical Data Elements for Respiratory Related Items
Tuesday 4/24 - CMS National Provider Enrollment Conference
Wednesday 4/25 - CMS National Provider Enrollment Conference
Tuesday 5/1 - Medicare Cost Report e-Filing System Webcast
 

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 the recent ICD-10-CM coding changes and challenges for reporting AKI/ARF.
 

    

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Making Sure Finance Doesn't Ruin the Patient Experience

In this HealthLeaders Media Roundtable, leaders shared ideas, insights, and strategies about the latest tactics and trends in patient financial services.
 
 

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