In 2018, more than 20,000 providers will receive an increase of 6.6% to 19.9% on their Medicare physician fee schedule payments as a result of their high performance on quality and cost measures in 2016, CMS announced.
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News
More than 20,000 providers to receive Medicare payment bump of 6.6% to 19.9%
Source: ACDIS

In 2018, more than 20,000 providers will receive an increase of 6.6% to 19.9% on their Medicare physician fee schedule payments as a result of their high performance on quality and cost measures in 2016, CMS announced. These increases are the result of the 2018 Value Modifier and adjustment factor.
April HCPCS update brings new codes for injections, immunotherapy treatment
Source: Revenue Cycle Advisor
CMS released Transmittal 3966 on February 2 describing changes that will be implemented in the April 2018 quarterly update to the HCPCS code set.
 

Revenue Cycle Advisor Subscriber Content

Understanding risk adjustment and compliance for outpatient CDI
Source: Revenue Cycle Advisor
Organizations and CDI specialists must have a thorough understanding of how regulations and guidelines impact risk adjustment in the outpatient setting. A misinterpretation can easily lead to inadvertent upcoding—and that can lead to costly audits, settlements, and accusations of fraud.
 

Daily Q&A
Q&A: Hospital outpatient diagnostic services
Source: Revenue Cycle Advisor
Q: How does Medicare cover hospital outpatient diagnostic services furnished in a provider-based department?

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Upcoming CMS Events
Monday 2/5- The Merit-based Incentive Payment System: Annual Call for Measures and Activities
Tuesday 2/6- CY 2017 eCQM Reporting Tips and Tools for the Hospital IQR and Medicare EHR Incentive Programs
Tuesday 2/6-  Network & Events Special Open Door Forum: New Medicare Card Project
Tuesday 2/13- FY 2019 New Technology Town Hall Meeting
 

Product Spotlight

Pressure Ulcer Coding: Strategies for ICD-10-CM Coding Accuracy

Join expert speakers Sarah Humbert, RHIA, and Temeka Davis, RHIT, for this 90-minute webinar as they discuss the challenges of reporting pressure ulcers with recent ICD-10-CM changes. The speakers will provide an explanation of pressure ulcers stages and injuries and clarify the National Pressure Ulcer Advisory Panel’s definitions so coders can categorize an ulcer even if staging isn’t documented.
 

    

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This white paper provides real-world ideas and best practices for ensuring optimized revenue cycle management.
 
 

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