Monday, August 26, 2019
 

News

$61.8 million upcoding case against health system dismissed
Source: ACDIS
A judge recently dismissed a whistleblower case brought against a Texas-based health system for allegedly upcoding diagnoses including severe malnutrition, encephalopathy, and respiratory failure.
OIG: CMS should extend its price substitution policy for Part B drugs
Source: Revenue Cycle Advisor
CMS could have saved its beneficiaries an additional $2.9 million in 2017 had it implemented a more expansive price substitution policy for Part B drugs, according to an Office of Inspector General (OIG) report. 
 

Revenue Cycle Advisor Subscriber Content

HIPAA Q&A: Out-of-state patients, voice assistant compliance, APIs, and minor privacy rights
Source: Revenue Cycle Advisor
Our expert answers HIPAA questions about out-of-state patients, smartphones, and HIPAA training.
 

Daily Q&A

Q&A: Billing for separate, unrelated items in a clinical trial
Source: Revenue Cycle Advisor
Q: How do we bill for items provided to a patient participating in a clinical trial that are not listed on the billing intention?

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, 8/27 - Understanding Your SNF VBP Program Performance Score Report Call
Tuesday, 8/27 - CMS Hospital/Quality Initiative Open Door Forum
Wednesday, 8/28 - CMS Ambulance Open Door Forum
Thursday, 8/29 - Special Open Door Forum: Open Payments Expansion under the SUPPORT Act
 

Product Spotlight

2020 OPPS Proposed Rule: Strategies for Preparing for and Commenting on Changes

During the program, expert speakers Jugna Shah, MPH, and Valerie A. Rinkle, MPA, will analyze the 2020 OPPS proposed rule, deliver a comprehensive update on the major changes proposed for 2020 under OPPS—including overhauls of price transparency requirements and payment updates—and describe how you can give CMS your feedback.

 

    

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What's New

Why Successful Organizations Are Building Virtual Hospitals

Download this free whitepaper to learn about trends in telemedicine from Lee Holmes, CEO of Imperial Health, and Bret Larsen, founder and CEO of eVisit.

 
 

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.

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