Complying with healthcare regulations within a coding department or physician practice involves promoting a positive attitude toward activities such as self-monitoring and staying up-to-date with healthcare regulations.
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News
Staying compliant with healthcare regulations requires departmentwide effort
Source: JustCoding
Complying with healthcare regulations within a coding department or physician practice involves promoting a positive attitude toward activities such as self-monitoring and staying up-to-date with healthcare regulations. Follow these steps to adhere to sound business ethics and set expectations for behavior across an organization.  
'Explainable AI' could reduce readmissions (and win clinicians' trust)
Source: HealthLeaders Media
This technology can accurately predict 30-day readmissions and clarify the AI process for clinicians.
 

Revenue Cycle Advisor Subscriber Content

Note from the instructor: CMS announces new voluntary episode payment model
Source: Revenue Cycle Advisor
This week's note examines the intricacies of the BPCI Advanced payment model, a new voluntary bundled payment model set to go live in October. 
 

Daily Q&A
Q&A: Outsourcing and privacy and security
Source: Revenue Cycle Advisor
Q: We’re looking into have our coding outsourced to a company based in India. I’m assuming that HIPAA does not apply to a foreign company. What are the potential HIPAA risks for us? If we discover that the outsourced company experienced a breach, would we still be liable? What do we need to be aware of in terms of HIPAA compliance?

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
Tuesday 1/23 - ESRD QIP: Final Rule for CY 2018 Call
Tuesday 1/23 - Special Open Door Forum: New Medicare Card Project
Tuesday 1/30- Q&A Open Forum: BPCI Advanced Model Overview and Application Process
Tuesday 2/13- FY 2019 New Technology Town Hall Meeting
 

Product Spotlight

Case Management Guide to Population Health: Management Across the Continuum of Care

This book is a comprehensive playbook for ensuring the effectiveness of a population health program. It’s designed to help case management and other healthcare professionals examine social determinants of population health, gauge the sustainability of population health modules in case management, and measure case management outcomes.
 

    

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What's New

Addressing complex commercial denials with a clinical perspective

This white paper shares how to successfully address the increased flow of commercial denials by infusing clinical expertise into the denial and management processes.
 
 

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