Tuesday, April 20, 2021
 

News

Illinois healthcare provider suffers breach impacting nearly 105,000 individuals
Source: Revenue Cycle Advisor
Cancer Treatment Centers of America and Midwestern Regional Medical Center based in Zion, Illinois, reported a breach last month potentially affecting 104,808 individuals, according to the Office for Civil Rights breach report.
Bundled payment program reduced surgery costs by 50%
Source: HealthLeaders Media
The payment model assesses surgical necessity; bundles payments for certain elective surgical procedures; ensures appropriate site of care and use of Centers of Excellence; and manages post-surgical care.
Note to subscribers: Revenue Cycle Daily Advisor changing publication schedule

Revenue Cycle Daily Advisor is going weekly! In effort to reduce inbox clutter for our readers, we’ll only be publishing one edition per week starting next Wednesday. Subscribers will find links to the latest stories from our publications, including Briefings on APCs, Briefings on HIPAA, Case Management Monthly, and HIM Briefings, though articles will continue to be posted to Revenue Cycle Advisor daily. Be on the lookout next week for Revenue Cycle Advisor Alert!

 

Revenue Cycle Advisor Subscriber Content

2021 E/M: Review guidance for reporting time-based services and navigate MDM confusion
The most impactful overhaul to the E/M coding and documentation guidelines in 25 years went live January 1. The updated guidelines eliminate medical history and physical examination as required elements for reporting E/M codes 99202-99215. E/M coding for outpatient visits is now based on documentation of medical decision-making (MDM) or time spent on the encounter.
 

Daily Q&A

Q&A: Reviewing inpatient psychiatric charts
Source: ACDIS
Q: Our CDI team was asked to start reviewing inpatient psychiatric charts. What conditions and diagnoses should pay particular attention to? How does Medicare’s payment for inpatient psychiatric services affect CDI priorities?

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

Thursday, 4/29 - Medicare Part A Cost Report: Easier File Uploads for e-Filing in MCReF
Wednesday, 5/5 - Office Hours: Primary Care First (PCF) Practices
Wednesday, 5/12 - Office Hours: Primary Care First (PCF) Payers
 

Product Spotlight

Critical Access Hospital and Rural Health Clinics Reimbursement Virtual Symposium

This virtual event will allow CAH and RHC teams the opportunity to learn the latest strategies for managing Medicare policies without leaving the office. Experts will cover topics including E/M documentation and billing, how to receive proper reimbursement for telehealth services, and quality/HCC reporting. Participants can also attend live Q&As to get feedback on their most pressing questions.

 

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Navigating a Pandemic

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