Trouble viewing? See it online! Thursday, August 3, 2017

News

Rigorous documentation, diagnosis coding pays off in risk-adjusted reimbursement
Source: JustCoding
In the outpatient world, physicians are accustomed to seeing services as the key to reimbursement, but diagnoses and outcomes will increasingly factor into reimbursement as healthcare shifts toward value-based care.
The new metrics
Source: HealthLeaders Media
The business and clinical intelligence that are necessary for healthcare leaders to better manage their organizations are changing rapidly. Returns may be greatest for organizations that are able to measure outcomes and show value.  
 

Revenue Cycle Advisor Subscriber Content

Note from the instructor: Applying therapy modifiers and therapy caps
Source: Revenue Cycle Advisor
This week's note from the instructor discusses therapy codes, caps, modifiers, and the exception process.
 

Daily Q&A

Q&A: Terminating business associate agreements
Source: Revenue Cycle Advisor
Q. If we terminate a contract with a business associate, are we required to obtain assurance that it has completely destroyed all of our protected health information (PHI) stored on its servers and other devices? If the PHI was not completely destroyed and was breached after we terminated the contract, who is responsible for reporting the breach?

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

Thursday 8/3 - Skilled Nursing Facility (SNF)/Long Term Care (LTC), Open Door Forum
Wednesday 8/16 - Medicare Diabetes Prevention Program Model Expansion Listening Session
Thursday 8/17 - Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes
Monday 8/21 - Advisory Panel on Hospital Outpatient Payment Meeting
 

Product Spotlight

Case Management Guide to Population Health: Management Across the Continuum of Care

This is a comprehensive playbook for ensuring the effectiveness of a population health program. This resource is designed to help case management and other healthcare professionals examine social determinants of population health, gauge the sustainability of population health modules in case management, and measure case management outcomes.
 

    

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What's New

How Identifying the Right Revenue Cycle Solutions Partner Can Save Hospitals Millions

In 2015, after new revenue cycle leadership came onboard at CoxHealth, the team perceived a need for additional resources to address a stubborn backlog of aging accounts.
 
 

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