Trouble viewing? See it online! Tuesday, January 29, 2019
 

News
Leveraging data for case management practice
Source: Revenue Cycle Advisor
Data is an essential tool in understanding the patient population that will guide the focus of your program. Both internal metrics and public health data will provide strategic focus to case management practices.
Three patient status rules you must understand to get paid correctly
Source: HealthLeaders Media
Misunderstandings created by years of variable quality audits have caused hospitals to be so cautious they are misapplying CMS guidance and forgoing revenue. 
 

Revenue Cycle Advisor Subscriber Content

Making risk work for you: Use outpatient CDI reviews to address coding and documentation errors
Source: Revenue Cycle Advisor
Establishing an outpatient CDI program can have substantial benefits. Recently, an outpatient CDI review project demonstrated there were many documentation improvement opportunities at a large family practice/internal medicine physician clinic.
 

Daily Q&A
Q&A: Glasgow Coma Scale and HCCs
Source: ACDIS

Q: I’ve been told that a patient with the documentation of “traumatic cerebral edema with loss of consciousness of 18 hours and GCS—eyes open to sound,” should be assigned to HCC 166. Should we always assign the most severe (and therefore higher-weighted) HCC?
 

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

Injections and Infusions: Resolve Frequent Coding and Billing Challenges

During this 90-minute webinar, expert speakers Jugna Shah, MPH, and Valerie Rinkle, MPA, will provide an overview of hospital drug administration coding and billing. Shah and Rinkle will cover commonly encountered challenges and discuss how to select the correct codes for reporting these services, followed by a live Q&A.
 

    

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What's New

Revenue Cycle Advisor Quarterly Member Call

Revenue Cycle Advisor subscribers can sign up for this free quarterly call with our regulatory expert reviewing important recent Medicare updates.
 
 

What is Revenue Cycle Advisor?

Revenue Cycle Advisor combines all of HCPro's revenue cycle and Medicare regulatory and reimbursement resources in one place—whether you’re looking for information on billing, coding, CDI, case management, finance, or HIPAA.

Don’t just read the news—read our in-depth expert analysis on the latest rules and regulations.

Click the links below to:
 

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