Trouble viewing? See it online! Tuesday, December 20, 2016

News

Putting the specific into unspecified
Source: Briefings on Coding Compliance Strategies
The world didn’t end on October 1, 2015. After years of postponement, the proverbial “deal with the devil” made between CMS and the AMA to push ahead with ICD-10-CM/PCS implementation was a year’s grace period during which physician practices could continue using unspecified codes without worrying about Medicare denials or auditor reviews.
21st Century Cures Act adds exceptions for provider-based departments
Source: Medicare Compliance Watch
Additional changes are coming to site-neutral payment policies for off-campus, provider-based departments after President Barack Obama signed the 21st Century Cures Act into law, updating policies outlined in Section 603 of the Bipartisan Budget Act of 2015 and the 2017 OPPS final rule.
Five healthcare finance disruptors to watch in 2017
Source: HealthLeaders Media
The forecast for healthcare finance in 2017 hinges largely on the fate of Obamacare, a couple of anti-trust cases, and a new law that relaxes oversight on drug and device makers.
 

Daily Q&A

Q&A: Medicare Advantage and provider-based department modifiers
Source: Medicare Compliance Watch
Do modifiers -PO and -PN apply to Medicare Advantage? Does modifier -PN apply to critical access hospitals?

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Upcoming CMS Events

Tuesday, 12/20 - Special Open Door Forum: Part D Appeals Process
Wednesday, 1/11 -  Hospital Open Door Forum
Thursday, 1/12 - IRF-PAI Therapy Information Data Collection Call
Tuesday, 1/17 - ESRD QIP: Payment Year 2020 Final Rule Call
 

Product Spotlight

Prepare for the 2017 CPT Updates

In this on-demand webinar, expert speakers Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CPC-I, CEMC, CCDS, and Peggy S. Blue, MPH, CPC, CCS, CCS-P, CEMC, cover the CPT coding and guideline changes most significant to your organization and also review pertinent anatomical and technological details to help you understand how to apply the new codes.
 

    

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Medicare Compliance Watch Helpful Links

Visit this valuable free collection of links regularly updated by HCPro regulatory specialists.
 
 

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