Five months after CMS sent a wave of uncertainty across the health insurance industry by freezing risk-adjustment payments, the agency has finalized a fix for the 2018 benefit year.
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News

Researchers use population health data to determine cardiovascular disease risk
Source: Revenue Cycle Advisor
A recent study in the Journal of the American Medical Informatics Association found that using population health data could help identify patients with a high risk of developing cardiovascular disease who have not been previously identified as high risk due to lack of relevant cholesterol data.
Risk-adjustment fix finalized for 2018 after bout of uncertainty
Source: HealthLeaders Media
Five months after CMS sent a wave of uncertainty across the health insurance industry by freezing risk-adjustment payments, the agency has finalized a fix for the 2018 benefit year.
 

Revenue Cycle Advisor Subscriber Content

2019 MPFS: CMS adds new modifiers, telehealth policies in physician rule
Source: Revenue Cycle Advisor
In addition to finalizing future E/M reporting and documentation changes, the 2019 Medicare Physician Fee Schedule final rule contains a plethora of regulations impacting reimbursement, including new modifiers for therapists.
 

Daily Q&A

Q&A: Finding the correct MS-DRG
Source: ACDIS
Q: I’m new to CDI and am having trouble understanding how to find the correct MS-DRG for a patient. Could you walk me through the process?

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Upcoming CMS Events

Tuesday, 12/11 -  SNF PPS: New Patient-Driven Payment Model Call
Wednesday, 12/12 - CMS Web Interface Kick-Off
 

Product Spotlight

Hospital Guide to Contemporary Utilization Review

This book focuses on the latest UR and patient status requirements to help hospitals perform high-quality reviews and comply with regulations in a value-based world. The second edition features extensive cover-to-cover updates with enhancements made to existing content and new chapters on the value of information and reporting as well as chapters on the intersection of revenue cycle functions pertinent to UR responsibilities.
 

    

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