Hospitals who serve disadvantaged patients in vulnerable communities may be unfairly penalized by the CMS rating system, according to an analysis released by the University of Chicago Medicine.
Trouble viewing? See it online! Monday, January 27, 2020
 

News
Hospitals may be penalized for serving disadvantaged patients, study says
Source: ACDIS

Hospitals who serve disadvantaged patients in vulnerable communities may be unfairly penalized by the CMS rating system, according to an analysis released by the University of Chicago Medicine.
RAC study: Providers incorrectly billed multi-use vials with medication wastage
Source: Revenue Cycle Advisor
Several Medicare claims for trastuzumab mutli-dose vials billed over the last three years failed to comply with Medicare requirements in part due to the improper application of modifier -JW, according to a study reported in the January 2020 Medicare Quarterly Provider Compliance Newsletter.
 

Revenue Cycle Advisor Subscriber Content

When you challenge the feds on HIPAA, plan for defeat
Source: Revenue Cycle Advisor
A large HIPAA breach settlement after a hospital system’s alleged failure to follow the feds’ suggested solution is a reminder that when it comes to enforcement, the government is holding all the cards.
 

Daily Q&A
Q&A: Billing self-denied inpatient stays
Source: Revenue Cycle Advisor
Q: How do we bill for services when our utilization review team determines postdischarge that an inpatient admission was not medically necessary? Are these services billed as outpatient or inpatient?

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Secrets to Successful New Technology Billing under Medicare’s OPPS and IPPS

CMS is expediting coverage approval and increasing add-on payments for certain new technologies, meaning additional reimbursement will be available for facilities providing these services. During this 90-minute webinar with live Q&A, John Settlemyer, MBA, MHA, CPC, CHRI, will walk attendees through the coding and billing processes for new technology in both inpatient and outpatient settings.
 

    

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Maternal & Infant Health Trends Series: The Added Cost of Complications During and After Delivery

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