This week’s Medicare updates include a transmittal implementing the new skilled nursing facility payment model, the introduction of a new app displaying Medicare coverage information, a transmittal about updates to provider enrollment policies, and more!
Trouble viewing? See it online! Wednesday, February 13, 2019
 

News
This week in Medicare updates—2/13/19
Source: Revenue Cycle Advisor
This week’s Medicare updates include a transmittal implementing the new skilled nursing facility payment model, the introduction of a new app displaying Medicare coverage information, a transmittal about updates to provider enrollment policies, and more!
CMS: Medical necessity errors account for nearly all improper payments for routine venipuncture labs
Source: Revenue Cycle Advisor
The improper payment rate for routine venipuncture lab tests was 16.3% in 2018, representing more than $20 million, and medical necessity errors accounted 98.9% of the improper payments, according to CMS.
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Revenue Cycle Advisor Subscriber Content

Clear up confusion over coding modifier -25
Source: Revenue Cycle Advisor
Use these tips to clarify when and how it’s appropriate to use modifier -25.
 

Daily Q&A
Q&A: Structuring care coordination rounds
Source: Revenue Cycle Advisor
Q: Do you have any advice on how to structure rounds for a hospital case management team?

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Upcoming CMS Events
Thursday, 2/14 - New Part D Opioid Overutilization Policies Call
Tuesday, 3/5 - ICD-10 Coordination and Maintenance Committee Meeting
Wednesday, 3/6 - ICD-10 Coordination and Maintenance Committee Meeting
Tuesday, 3/12 - Dementia Care & Psychotropic Medication Tracking Tool Call
 

Product Spotlight

The Essential Guide to Interprofessional Ethics in Healthcare Case Management

Failure to grasp ethics in healthcare case management can negatively impact quality of care, organizational costs, and even a case manager’s career. This book will help case managers navigate the ethical conundrums they face as they interact with one another, the healthcare team, and patients and families.
 

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