CMS recently announced a five-part strategy to combat fraud, waste, and abuse in the Medicare system.
Trouble viewing? See it online! Monday, December 2, 2019
 

News
CMS adopts five-part strategy to address Medicare fraud, waste, and abuse
Source: ACDIS
CMS recently announced a five-part strategy to combat fraud, waste, and abuse in the Medicare system.
CDC updates guidance for reporting vaping-associated lung injuries as flu activity increases
Source: Revenue Cycle Advisor
The Centers for Disease Control and Prevention (CDC) updated its clinical guidance for diagnosing and treating electronic cigarette- or vaping-associated lung injuries (EVALI) in light of the approaching 2019-2020 flu season.
Last call: Get insights into industry standards for coding productivity
Setting the right coding productivity benchmark is critical to the department’s success. Take HCPro’s coding productivity survey and see how your department compares to others and learn how key factors such as accuracy, interaction with CDI, and case mix affect your benchmark. Survey respondents will receive a copy of the survey report and may opt in to be entered for a chance to win a free webinar. Click here to take the survey.
 

Revenue Cycle Advisor Subscriber Content

Survey raises concerns over healthcare cybersecurity training
Source: Revenue Cycle Advisor
In addition to physical and technical safeguards, the HIPAA Security Rule requires covered entities and business associates to implement administrative protections, including workforce training and management.
 

Daily Q&A
Q&A: Conflicts between coding guidelines and payer’s claims processing requirements
Source: Revenue Cycle Advisor
Q: I'm told, although I'm not convinced, that our payment for Keytruda is denied by Anthem when we use ICD-10-CM code Z51.11 (encounter for antineoplastic chemotherapy) first followed by the code for cancer, i.e., C34.12 (malignant neoplasm of upper lobe, left bronchus or lung). I reviewed the coding guidelines again and that is our instruction. Does anyone have experience with this issue?
 

Upcoming CMS Events
Tuesday, 12/3 - Hospital Price Transparency Final Rule Call
Wednesday, 12/4 - Hospice Quality Reporting Program Forum Webinar
Thursday, 12/5 - Ground Ambulance Organizations: Data Collection System Call
Monday, 12/16 - FY 2021 New Technology Townhall Meeting
 

Product Spotlight

2020 CPT Update: Coding for New Technology and Procedures

Nearly 400 code changes are coming to the CPT Manual for coders to report beginning January 1, 2020, affecting a wide variety of sections. Join expert speaker Adrienne Commeree, CPC, CPMA, CCS, CEMC, CPIP, for this 90-minute webinar as she describes newly reportable procedures, guideline changes, add-on codes, and deleted and revised codes.
 

SIGN UP | FORWARD | SPONSOR
 
 

What's New

Lowering the Incidence and Severity of Hospital-Associated Sepsis

Download this free white paper to learn how to reduce costs and improve the quality of care for sepsis patients.
 
 

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.

Click the links below to:
 

Career Center

Post your open positions or find your next career move with the HCPro Career Center.