Trouble viewing? See it online! Friday, April 24, 2020
 

News
DOJ sues Anthem over Medicare Advantage fraud claims
Source: ACDIS
Anthem is currently facing a False Claims Act lawsuit from the Department of Justice (DOJ) for submitting inaccurate diagnosis codes to get a higher Medicare reimbursement. The lawsuit says that Anthem failed to find and delete inaccurate diagnosis codes from 2014 to early 2018 through its chart review program.
Tip of the week
Starting March 6 and continuing for the duration of the novel coronavirus (COVID-19) public health emergency, Medicare will cover telehealth visits performed using telemedicine technology. This includes face-to-face services administered to both new and established patients through non-public-facing platforms such as Skype and Facetime.
 

Revenue Cycle Advisor Subscriber Content

Telemedicine as a tool for addressing COVID-19
Source: Revenue Cycle Advisor
As organizations respond to the COVID-19 pandemic, a growing number are turning to telemedicine to safely meet patient demand. “The current crisis is expanding people’s willingness to shift the paradigm both on the provider and patient side,” says Diane Iverson, RN, BSN, BS, ACM, CCM, a Baltimore-area case manager. “Systems are gearing up to expand services rapidly.”
 

Daily Q&A
Q&A: Reporting unspecified drug use in ICD-10-CM
Source: Revenue Cycle Advisor
Q: When would you use the ICD-10-CM codes for opioid or marijuana use when no mental, behavioral, or other disorder is connected? I’m specifically thinking of codes F11.90 (opioid use, unspecified, uncomplicated) and F12.90 (cannabis use, unspecified, uncomplicated).

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, 5/7 - Ground Ambulance Organizations: Data Collection for Medicare Providers Call
 

Product Spotlight

Take Control of ICD-10-CM/PCS Coding for COVID-19 and Other Infectious Diseases

During this 90-minute webinar, Temeka Davis, RHIT, will review ICD-10-CM/PCS documentation and coding for infectious diseases including sepsis, HIV, and COVID-19, as well as related procedures for these conditions such as central venous line Insertions. Through case studies and coding examples, the speaker will review how to query for clarification and link codes to the documentation.
 

    

SIGN UP | FORWARD | SPONSOR
 
 

What's New

Coronavirus and Pandemic Response

Find the latest resources on preparing your facilities to respond to the ongoing COVID-19 outbreak.
 
 

What is Revenue Cycle Advisor?

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.

Click the links below to:
 

Career Center

Post your open positions or find your next career move with the HCPro Career Center.