Coders and clinical documentation improvement specialists play a key role in the success of quality payment programs such as MIPS.
Trouble viewing? See it online! Thursday, April 26, 2018

News
The coder’s role in value-based care
Source: JustCoding
Coders and clinical documentation improvement specialists play a key role in the success of quality payment programs such as MIPS. This article describes the financial impact that hierarchical condition category coding has on provider reimbursement and the coder’s role in ensuring complete, accurate, and timely documentation. 
Put chargemaster online by 2019, says CMS proposal
Source: HealthLeaders Media
Hospitals will be required next year to publish their standard list of prices online in a machine-readable format, if CMS finalizes a proposed rule announced Tuesday afternoon.
NAHRI State of the Revenue Integrity Industry Survey
The National Association of Healthcare Revenue Integrity is conducting its State of the Revenue Integrity Industry Survey and is interested in learning about your revenue integrity experience. The results of the survey will be released to all survey participants in a report during Revenue Integrity Week (June 3–9, 2018). Click here to take the survey.
 

Revenue Cycle Advisor Subscriber Content

Note from the instructor: Medicare reissues guidance on specimen validity testing for drug screening
Source: Revenue Cycle Advisor
This week's note from the instructor digs into the deeper details of recently reissued Medicare guidance on drug testing and specimen validity testing in light of a recent OIG report on improper payments related to drug testing. 
 

Daily Q&A
Q&A: Disposal of PHI documentation
Source: Revenue Cycle Advisor
Q: Recently, one of our patients threw away some papers containing PHI in a wastebasket in the waiting room. Another patient’s child later took them out of the wastebasket. Is this a privacy breach? Are we responsible for the papers even though we turned them over to the patient?

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 5/1 - Medicare Cost Report e-Filing System Webcast
Monday 6/25 - Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes for the Clinical Laboratory Fee Schedule for CY 2019
Tuesday 9/11 - ICD-10 Coordination and Maintenance Committee Meeting
Wednesday 9/12 - ICD-10 Coordination and Maintenance Committee Meeting
 

Product Spotlight

Longitudinal Case Management: Designs Across the Continuum of Care

Case management has grown beyond inpatient care sites; it now extends to ambulatory settings and fragile transition periods. This book provides guidance on establishing case management processes between care settings such as ambulatory, acute, and postacute with the goal of arming the patient with community resources to thrive at home.
 

    

SIGN UP | FORWARD | SPONSOR
 
 

What's New

Prepare for changes to CMS' inpatient-only procedures

Debbie Mackaman, RHIA, CPCO, CCDS, writes about the potential financial impact of inpatient-only list updates to total knee arthroplasty procedures.
 
 

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.