This week’s Medicare updates include two new fact sheets on Merit-based Incentive Payment System policies, a Special Edition MLN Matters article on proper coding for certain laboratory tests, instructions regarding the new skilled nursing facility Advance Beneficiary Notice forms; and more!
Trouble viewing? See it online! Wednesday, April 4, 2018

News
This week in Medicare updates—4/4/18
Source: Revenue Cycle Advisor
This week’s Medicare updates include two new fact sheets on Merit-based Incentive Payment System policies, a Special Edition MLN Matters article on proper coding for certain laboratory tests, instructions regarding the new skilled nursing facility Advance Beneficiary Notice forms; and more! 
Medicare Advantage plans to average 3.4% increase in 2019, CMS updates HCC models
Source: Revenue Cycle Advisor
Medicare Advantage plan payment rates will increase by an average of 3.4% in 2019 due to higher projected per-capita cost growth for Medicare fee-for-service. The final pay bump is significantly higher than the 1.84% increase proposed in the 2019 advance notice.
 

Revenue Cycle Advisor Subscriber Content

Organizations score wins on HIPAA training but struggle with risk analysis, some audit functions
Source: Revenue Cycle Advisor
Organizations are generally keeping up due diligence when it comes to HIPAA compliance training and essential auditing, despite an increasingly challenging array of threats directed at them. However, confusion still holds sway on risk analysis and more robust audit functions.
 

Daily Q&A
Q&A: Physician roles in population health case management
Source: Revenue Cycle Advisor
Q: What role should physicians play in case management population health efforts?

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Upcoming CMS Events
Thursday 4/05 - CMS Rural Health Open Door Forum
Wednesday 4/11 - Spinal Orthoses Referring Providers Comparative Billing Report Webinar
Tuesday 4/24 - CMS National Provider Enrollment Conference
Wednesday 4/25 - CMS National Provider Enrollment Conference
 

Product Spotlight

NAHRI’s Core Functions of Revenue Integrity

As more facilities develop revenue integrity programs and departments, there is an ever greater need to develop educational materials and training for these professionals. This book examines how each piece of revenue integrity comes together on a macro and a micro level by looking through the lens of 10 core functions.
 

    

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Your Blueprint for Success in Transforming your CDI Program to a Fee-for-Value Focus Resources

This webinar will help you understand the CDI department’s role in the risk adjusted and quality review world.
 
 

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