Tuesday, August 22, 2017

News

AMA urges CMS to simplify Quality Payment Program
Source: Revenue Cycle Advisor
While the American Medical Association supports some of CMS’ proposals for year two of the Medicare Quality Payment Program, it is advising CMS to do more to simplify value-based payments.
Community health workers demonstrate ROI
Source: HealthLeaders Media
New study shows that patient-tailored support from community health workers can reduce hospitalization and improve control of obesity, diabetes and smoking.
 

Revenue Cycle Advisor Subscriber Content

Focus on medical-decision making, time may newly define E/M services
Source: Revenue Cycle Advisor
You may find significant changes to E/M reporting in the near future, including a pivot away from two key elements — history and physical exam — that largely determine a given level of service for your most common patient encounters.
 

Daily Q&A

Q&A: Coding the term 'exacerbated' and linking systolic dysfunction with CHF
Source: ACDIS
Q: I’ve heard that “exacerbated” can't be used to code acute-on-chronic congestive heart failure. Coding Clinic, however, states that it can be used. Can you clarify?

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

Wednesday 8/30 - MEDCAC - Health Outcomes After Bariatric Surgical Therapies in the Medicare Population
Wednesday 9/6 - IMPACT Act: Medicare Spending Per Beneficiary Measures Call
Thursday 9/7 - Nursing Home Facility Assessment Tool and State Operations Manual Revisions Call
Friday 9/8 -  Summit: Behavioral Health Payment and Care Delivery Innovation
 

Product Spotlight

MACRA and the Value-Based Transition: Understanding the Impact

During this 90-minute webinar, William L. Malm, ND, RN, CRCR, CMAS, and Holly Taylor will explain MACRA and the new Quality Payment Program, including MIPS. Attendees will learn about the impact that value-based reimbursement models have on the revenue cycle as well as best practices for ensuring success. Participants will also learn how to analyze the operational changes necessary to support the transition to value-based reimbursement.

 

    

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What's New

Risk Adjustment and its Impacts to CDI and Coding Operations

During this session, experts will review the different aspects of risk adjustment, focusing on how CDI and coding programs can help with the transition to value-based payment.

 
 

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