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News

Authorization for use or release of health information
Source: Revenue Cycle Advisor
An authorization generally applies when an organization wishes to use or disclose a patient’s protected health information for a purpose other than treatment, payment, or healthcare operations, or for legally required purposes. A patient must sign a HIPAA-compliant authorization form that specifically grants permission to the organization.
Understanding basic types of denials
Source: ACDIS
You can’t manage what you don’t understand. So, the first step in any effective denials management program is to develop an understanding of the what constitutes a denial, as well as the different types of denials and their contributing causes.
More Americans uninsured, but ACA approval increases
Source: HealthLeaders Media
A slight increase in the number of uninsured Americans might be attributable to uncertainty over repeal of the Affordable Care Act.
 

Daily Q&A

Q&A: Coding guidelines for COPD and pneumonia
Source: ACDIS
Q: I’m having problems determining the correct coding guidelines for chronic obstructive pulmonary disease (COPD) and pneumonia. Have the guidelines changed regarding COPD and pneumonia? Do you now have to code the pneumonia as a COPD with a lower respiratory infection?

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

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

HealthLeaders Media Live: Transform the Patient Financial Experience

Tune into this special event as revenue cycle leaders from multiple systems reveal the strategies behind their success.
 
 

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