The main dilemma for the boardroom and the frontline case management professionals is they do not warm up to case management “models.”
Trouble viewing? See it online! Tuesday, January 23, 2018

News
Tackling case management models at the patient/family level
Source: Revenue Cycle Advisor
The main dilemma for the boardroom and the frontline case management professionals is they do not warm up to “models.” In fact, models are looked at with skepticism, and if they are being evaluated, models are looked at as warnings about more work to come. Looking at the patient/family level of care, every patient and family should receive the following services from case management.
More ACOs than ever: Medicare Shared Savings Program swells in 2018
Source: HealthLeaders Media
Though the program and its savings have steadily climbed, CMS released participant data without fanfare.
 

Revenue Cycle Advisor Subscriber Content

This month's coding Q&A
Source: Revenue Cycle Advisor
Our experts answer questions about open-ended queries, how many claims should result in queries, and more. 
 

Daily Q&A
Q&A: Coding uncertain diagnoses documented by consultants only
Source: ACDIS

Q: If an uncertain diagnosis is only documented by a consultant consistently through the medical record, including in the last progress note, and is left out of the discharge summary, should that diagnosis be coded?

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
Monday 2/5- The Merit-based Incentive Payment System: Annual Call for Measures and Activities
 

Product Spotlight

Confronting NCCI/MUE Processes: Reduce Edits and Eliminate Obstacles

During this 90-minute webinar, speakers Denise Williams, RN, COC, and Valerie A. Rinkle, MPA, will demystify NCCI edits and MUEs as well as the process for resolving those edits. They will walk attendees through which edits can be appealed, why edits should be appealed, and how facilities can create processes for billing and coding departments to manage edits.
 

    

SIGN UP | FORWARD | SPONSOR
 
 

What's New

The Strategic Impact of Laboratory Services in a Value-Based Environment

In this executive roundtable, panelists discuss how lab services can support an organization’s strategic plans and influence clinical and financial outcomes.
 
 

Career Center

Post your open positions or find your next career move with the HCPro Career Center.