Phoenix-based nonprofit Banner Health hired Cecilia Guardiola, RN, as corporate director of CDI in fall 2012, HealthLeaders Media reported. Within three months, however, Guardiola resigned over concerns that Banner seemed to be billing Medicare improperly. 
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News
CDI specialist blows the whistle, costs health system $18.3 million
Source: ACDIS
Phoenix-based nonprofit Banner Health hired Cecilia Guardiola, RN, as corporate director of CDI in fall 2012, HealthLeaders Media reported. Within three months, however, Guardiola resigned over concerns that Banner seemed to be billing Medicare improperly. 
2019 IPPS proposed rule outlines 435 ICD-10-CM potential code changes
Source: Revenue Cycle Advisor
CMS released the fiscal year 2019 IPPS proposed rule on Tuesday, April 24, outlining potential ICD-10-CM code changes to be implemented October 1, including 247 additions, 139 revisions, and 49 deletions. 
 

Revenue Cycle Advisor Subscriber Content

Privacy and Security Primer
Source: Revenue Cycle Advisor
Review tips on getting the most out of privacy protection and security measures from this month’s issue of Briefings on HIPAA.
 

Daily Q&A
Q&A: Patient payment plans
Source: Revenue Cycle Advisor
Q: What methods can patient access use to screen patients for payment plan programs?

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Upcoming CMS Events
Tuesday 5/1 - Medicare Cost Report e-Filing System Webcast
Wednesday 5/16 - Quality Payment Program: Answering Your Frequently Asked Questions Call
Tuesday 5/22 - Settlement Conference Facilitation Expansion Call
Wednesday 6/25 - Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes for the Clinical Laboratory Fee Schedule for CY 2019
 

Product Spotlight

PEPPER Action Plans: Contemporary Approaches to Revenue Integrity

During this 90-minute webinar, expert speakers William L. Malm, ND, RN, CRCR, CMAS, and Kurt Hopfensperger, MD, JD, will explain how to use PEPPER to identify areas at risk for an audit. They will highlight the nuances of physician advisor activities and provide a plan of action to take back to your facility.
 

    

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What's New

Free Revenue Integrity Week resources

The National Association of Healthcare Revenue Integrity has posters, activities, and fact sheets to help your facility celebrate and raise awareness.
 
 

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