Trouble viewing? See it online! Wednesday, April 19, 2017

News

Getting value out of the medical record
Source: Revenue Cycle Advisor
Payment reform is here to stay. Although reimbursement will continue to evolve over the next several years, it’s unlikely that payers, commercial or government, are going to abandon risk-based models and value-based purchasing and turn the clock back to fee-for-service and volume over value.
This week in Medicare updates–4/19/2017
Source: Revenue Cycle Advisor
This week’s Medicare updates include the 2018 IPPS proposed rule, a new CMS email address for Fee-For-Service Beneficiary Notice questions, the new interest rate for Medicare over- and underpayments, and more!
Nutrition assistance program draws payer support
Source: HealthLeaders Media
A Massachusetts nonprofit is building a data-supported financial case to demonstrate that nutrition-intervention services are beneficial to patients and payers.
 

Daily Q&A

Q&A: Skin substitute claims hitting edits
Source: Revenue Cycle Advisor
Q: We have received rejections for claims reporting the application of skin substitutes, with the edit stating there is a mismatch of the procedure and the skin substitute. We are using the table that was published in the 2017 OPPS final rule. Has something changed?

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 4/19 - Medicare Shared Savings Program ACO: Completing the 2018 Application Process Call
Tuesday 4/25 - Global Surgery: Required Data Reporting for Post-Operative Care Call
Thursday 4/27 - Emergency Preparedness Requirements Final Rule Training Call
 

Product Spotlight

Condition Codes W2 and 44: Strategies for Reimbursement for Non-Covered Inpatient Stays

Join expert speaker Kimberly Anderwood Hoy Baker, JD, CPC, as she discusses operational strategies for using condition code 44 and W2 processes to get reimbursement for inpatient non-covered cases while leveraging UR resources.
 

    

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What's New

Medicare Notice Requirements for Hospitals

This white paper outlines the most common hospital notices to help hospitals reduce administrative burden for implementation and coordination.
 
 

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