Trouble viewing? See it online! Friday, August 25, 2017

News

Aetna envelopes reveal patient HIV status
Source: Revenue Cycle Advisor
Health insurer Aetna is being threatened with legal action for revealing the HIV status of patients in eight states and the District of Columbia.
Tip of the week
The most common areas for ICD-10 coding errors identified through coding audits include:
  • Coding to the greatest degree of specificity
  • Combination diagnosis codes and linked diagnoses
  • Complex cardiac surgeries
  • Correct interpretation of coding guidelines
  • Identifying appropriate root operations
  • Spinal surgeries

Based on these common errors, a combination of random and focused coding audits has become industry best practice.

- Julia Hammerman, RHIA, CPHQ, director of compliance and education at himagine, and Sam Champagnie, senior director of HIM operations at himagine
 

Revenue Cycle Advisor Subscriber Content

Time management and prioritization
Source: Revenue Cycle Advisor
Popular perception of teams and groups is marked by idioms such as “the more the merrier” and “two heads are better than one,” as well as the idea that the majority rule is the best approach.
 

Daily Q&A

Q&A: Documenting continuous infusions for observation patients
Source: Revenue Cycle Advisor
Q: What are the documentation requirements for a continuous infusion for an observation 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

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

Medicare Billing Edits: A Guide to Regulations, Research, and Resolutions

Resolving edits can be overwhelming, causing staff to work the same edits repeatedly, unless time and resources are spent to identify and fix the root cause of the problem. This book will help readers understand Medicare claims edits and give them practical tools and information to efficiently handle these edits, helping to ensure compliance and protect revenue.
 

    

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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.
 
 

Career Center

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