Trouble viewing? See it online! Tuesday, February 7, 2017

News
Coding for clinical validity
Source: JustCoding
Clinical validation denials result from a review by a clinician, such as a registered nurse, contractor medical director, or therapist, who concludes retrospectively that a patient was not really afflicted by a condition that was documented in the medical record and coded by the coder.
AMA, AHA release prior authorization principles
Source: Revenue Cycle Advisor
A coalition that includes the American Medical Association, American Hospital Association, and 15 other healthcare organizations is calling for an industry-wide reassessment of prior authorization programs.
ACEP cries foul on Florida price transparency effort
Source: HealthLeaders Media
The American College of Emergency Physicians objects to the Florida Agency for Health Care Administration's partnership with a group that ACEP says is tied too closely to insurers.
Correction: 2017 Revenue Integrity Symposium dates
Source: Revenue Cycle Advisor
Monday’s issue of Revenue Cycle Daily Advisor incorrectly listed the dates for the 2017 Revenue Integrity Symposium. The symposium will be held October 23-24. More information and a website for the symposium will be available soon. In the meantime, please take a moment to learn about our Revenue Integrity Symposium call for speakers.
 

Daily Q&A
Q&A: Billing for medication therapy management services
Source: Revenue Cycle Advisor
The facility where I work will be charging for medication therapy management (MTM) services at its clinics. I am wondering whether we should bill MTM services with a 1500 or UB-04 form.

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 2/8 - Home Health, Hospice & DME/Quality Open Door Forum

Tuesday 2/14 - FY 2018 New Technology Town Hall Meeting
Tuesday 2/21 - Understanding and Promoting the Value of Chronic Care Management Services Call
Thursday 2/23 - Looking Ahead: The IMPACT Act in 2017 Call
 

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