Trouble viewing? See it online! Monday, January 28, 2019
 

News
DOJ joins whistleblower suit alleging Sutter Health inflated risk scores
Source: ACDIS
The federal government has intervened in a lawsuit against Sutter Health, taking the side of a whistleblower who claims the nonprofit health system inflated the risk scores of Medicare Advantage plan enrollees to secure higher risk-adjusted payments.
Hospitals sue HHS over OPPS policy that will reduce payments to grandfathered off-campus, provider-based departments
Source: Revenue Cycle Advisor
Thirty-eight hospitals filed a lawsuit against the U.S. Department of Health and Human Services (HHS) on January 18, alleging that that HHS Secretary Alex Azar overstepped his authority when he finalized an OPPS policy that cuts Medicare payment rates to off-campus, provider-based departments.
 

Revenue Cycle Advisor Subscriber Content

HIPAA Q&A: Changing patient records, consent vs. authorization, vaccination data, and questions to HR
Source: Revenue Cycle Advisor
In this month's HIPAA Q&A, we answer your questions about making changes to patient records, the difference between consent and authorization, vaccination data, and more!
 

Daily Q&A
Q&A: Determining responsibility for delivering an ABN
Source: Revenue Cycle Advisor
Q: How far in advance are we required to provide an Advance Beneficiary Notice of Noncoverage (ABN)? If multiple entities are involved in ordering and providing a noncovered service such as a lab test, does each entity need to issue a separate ABN?
 

Upcoming CMS Events
Tuesday, 2/5 - New Electronic System for Provider Reimbursement Review Board Appeals Call
Tuesday, 2/12 -  Home Health Patient-Driven Groupings Model Call
Thursday, 2/14 -  New Part D Opioid Overutilization Policies Call
Tuesday, 3/12 - Dementia Care & Psychotropic Medication Tracking Tool Call
 

Product Spotlight

Reinforce ICD-10-CM and CPT Coding for Major Joint Arthroscopies and Total Joint Replacements

During this 90-minute webinar, Lynn Anderanin, CPC, CPC-I, CPMA, CPPM, COSC, will review CPT® coding and Medicare billing rules for hip, knee, and shoulder arthroscopies and total joint replacements. She will also discuss medical necessity requirements and ICD-10-CM codes required for reimbursement of procedures billed under Medicare.
 

    

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