This week’s Medicare updates include two compliance reviews from the Office of Inspector General, an enforcement instruction on supervision requirements for outpatient therapy, clarification of instructions for medical reviews of inpatient rehabilitation facility claims, and more.

Wednesday, February 28, 2018

News

This week in Medicare updates—2/28/18
Source: Revenue Cycle Advisor
This week’s Medicare updates include two compliance reviews from the Office of Inspector General, an enforcement instruction on supervision requirements for outpatient therapy, clarification of instructions for medical reviews of inpatient rehabilitation facility claims, and more! 
OIG: Medicare improperly paid $66.3 million for specimen validity tests
Source: Revenue Cycle Advisor
An audit of Medicare Part B payments from 2014 through 2016 revealed that CMS improperly paid providers more than $66.3 million for specimen validity tests billed in combination with urine drug tests, according to a report by the OIG.
Tell us about your HIPAA compliance efforts for a chance to win a free HCPro book
HIM Briefings is conducting a benchmarking survey on HIPAA compliance. Complete the survey here. One respondent will be chosen at random to receive a free HCPro HIPAA book of their choice.
 

Revenue Cycle Advisor Subscriber Content

Computer-assisted coding: New techniques to improve accuracy
Source: Revenue Cycle Advisor
In advance of ICD-10-CM/PCS, many institutions implemented computer-assisted coding (CAC) hoping to mitigate the anticipated productivity losses, but research has confirmed suspicions that there is an inverse relationship between coding productivity and accuracy.
 

Daily Q&A

Q&A: Case management return on investment
Source: Revenue Cycle Advisor
Q: How can a facility advocate for bringing on additional case managers and social workers?

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Email your questions for consideration in the Revenue Cycle Daily Advisor. Note: We do not guarantee that all questions will be answered.

 

Sponsored Content

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Upcoming CMS Events

Wednesday 2/28- Home Health, Hospice & DME Open Door Forum
Tuesday 3/6- ICD-10 Coordination and Maintenance Committee Meeting
Wednesday 3/7- ICD-10 Coordination and Maintenance Committee Meeting
Tuesday 3/13-  Low Volume Appeals Settlement Option Update Call
 

Product Spotlight

The National Association of Healthcare Revenue Integrity

NAHRI is dedicated to providing the hospital revenue integrity community the resources, networking, and training required to achieve efficiency, compliance, and optimized reimbursement. By becoming a charter member, you gain access to a vast body of revenue cycle knowledge, high-quality training programs, the latest tools and tactics, and opportunities to interact with your peers.

 

    

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What's New

Machine Learning: What It Is and Why Your Organization Should Care

Machine learning stands to make things more safe, efficient, and cost-effective. But where should healthcare companies begin? Read this ebook to learn more.

 
 

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