Trouble viewing? See it online! Wednesday, December 21, 2016

News
AMI 30-day mortality measures and CDI—Is your approach ischemic?
Source: HIM Briefings
The 30-day all cause acute myocardial infarction (AMI) mortality outcome measure has been linked to hospital payments since the inception of the Hospital Value-Based Purchasing Program in fiscal year 2013. In February 2016, CMS announced that 70% of commercial payers have agreed to use this measure as one of the cardiology outcomes linked to payment.
Medicare updates: This week's regulatory changes
Source: Medicare Compliance Watch
This week’s Medicare updates include Hospital Appeals Settlement Process FAQs, additional opportunities for clinicians under the Quality Payment Program, Conditions for Coverage for End-Stage Renal Disease Facilities interim final rule, and more!
'Vulnerabilities' found in 2-midnight rule
Source: HealthLeaders Media
An Office of Inspector General report identifies improper payments for short inpatient stays and inconsistent use of inpatient and outpatient stays.
 

Daily Q&A
Q&A: What is the process for reporting moderate sedation in 2017?
Source: Medicare Compliance Watch
Q: We just finished our annual CPT® review for our chargemaster changes and we noticed that there are new moderate sedation codes for 2017. The code descriptions are similar, but now we don’t know when we should report the moderate sedation. Moderate sedation has run the gamut from instructions to "report separately" and “don’t report separately,” and we don’t know what to do at this point.

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, 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
Wednesday, 1/18 - Home Health Groupings Model Technical Report Call
 

Product Spotlight

Revenue Integrity Training Toolkit

Due to the nature of today’s healthcare environment some staff may not even realize that they’re part of the revenue cycle. This can lead to challenges with compliance, reimbursement, and, ultimately, patient care. This handbook will help get everyone, from billers to clinicians, on the same page improving systemic information flow and feedback loops.
 

    

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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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