Trouble viewing? See it online! Monday, December 9, 2019
 

News
Nearly 2,000 hospitals will receive roughly $1.9 billion in VBP bonuses, CMS says
Source: ACDIS
More than 1,500 hospitals will receive about $1.9 billion in bonuses for fiscal 2020 from the Hospital Value-Based Purchasing (VBP) program, CMS reported. The results are similar to last year, with about 55% of participants receiving bonuses, Modern Healthcare reported.
OIG: Northwest Medical Center received $200,000 in overpayments due to inaccurate billing
Source: Revenue Cycle Advisor
Northwest Medical Center in Arizona received $201,624 from Medicare for incorrectly billed inpatient and outpatient services based on a sample of claims, according to a report released by the Office of Inspector General (OIG) on December 3. 
 

Revenue Cycle Advisor Subscriber Content

Advantages and disadvantages of voluntary disclosure
Source: Revenue Cycle Advisor
When voluntary disclosure for overpayments is an option rather than an obligation, the provider may encounter diverse opinions among its decision-makers. Some may express a desire to bring the potential problem to the attention of the government and attempt to resolve the matter quickly without incurring criminal penalties, civil fines, or exclusions.
 

Daily Q&A
Q&A: Billing for separate, unrelated items in a clinical trial
Source: Revenue Cycle Advisor
Q: How do we bill for items provided to a patient participating in a clinical trial that are not listed on the billing intention?

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Upcoming CMS Events
Tuesday, 12/10 - Special Open Door Forum: Healthcare Price Transparency
Thursday, 12/12 - Skilled Nursing Facilities/Long-Term Care Open Door Forum
Monday, 12/16 - FY 2021 New Technology Townhall Meeting
Tuesday, 12/17 - FY 2021 New Technology Townhall Meeting
 

Product Spotlight

2020 Chargemaster Updates: Coding Changes, HIPAA, and Price Transparency

During this 90-minute webinar, Valerie A. Rinkle, MPA, CHRI, will unravel the intricacies of 2020 CPT®/HCPCS code changes, HIPAA transaction set requirements, and regulatory standards to guide attendees through the toughest tasks related to chargemaster updates. It will also address strategies for confronting processes or departments affected by code deletions and provide tips to prepare for potential revenue integrity pitfalls.
 

    

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Using Data to Personalize Care

Download this free file to identify care options that promote improved health and reduced costs—like switching medications or joining a COPD care management program.
 
 

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