Monday, August 28, 2017

News

CMS rolls out new approach to claim reviews, lightens audit burden
Source: ACDIS

Medicare Administrative Contactors (MAC) have new revised audit targets, according to a CMS announcement Monday, August 14. MACs will first identify providers with billing errors and then provide corrective educational outreach, in targeted “probe and educate” reviews.

MS-DRGs see changes in FY 2018 IPPS final rule
Source: JustCoding
In Major Diagnostic Category 1, Diseases and Disorders of the Nervous System, which covers MS-DRGs 020-103, CMS made changes to the classification of the diagnoses of functional quadriplegia and precerebral occlusion or transient ischemic attack with the use of a thrombolytic, as well as for the insertion of a responsive neurostimulator system.
HIM Briefings’ outsourcing benchmark survey

Have you ever wondered how other organizations leverage outsourced HIM services? Now you can find out! HIM Briefings is conducting a benchmarking survey on the use of outsourced functions in the HIM department, and we would appreciate your input. One respondent will be selected at random to win his or her choice of a free HCPro webinar. Click here to take the survey.

 

Revenue Cycle Advisor Subscriber Content

Q&A: Storing patient photos, sending prescription information via email, and ransomware
Source: Revenue Cycle Advisor
This month's Q&A answers readers' questions about storing patient photos in the EMR, ransomware, and incidental disclosures.
 

Daily Q&A

Q&A: Coverage of outpatient diagnostic services
Source: Revenue Cycle Advisor
Q: How should diagnostic services be covered in hospital outpatient departments?

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, expert speakers 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.

 

    

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What's New

Burden of Inpatient Safety and Adverse Outcomes

This study presents the incremental consequences of selected inpatient medical injuries as identified by Agency for Healthcare Research and Quality Patient Safety Indicators.

 
 

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