The Case Management Society of America recently released an updated version of its Case Management Model Act, which is aimed at standardizing best practices in case management to improve clinical and financial outcomes, according to CMSA Today.
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CMSA revises Case Management Model Act to promote care standards
Source: Revenue Cycle Advisor
The Case Management Society of America recently released an updated version of its Case Management Model Act, which is aimed at standardizing best practices in case management to improve clinical and financial outcomes, according to CMSA Today.
More disaster zones granted automatic MIPS-reporting leeway
Source: HealthLeaders Media
Another 25 counties have been added to the list of disaster-plagued areas that will automatically qualify for special treatment under the 2017 data-submission requirements for the Merit-based Incentive Payment System, CMS announced Monday.
 

Revenue Cycle Advisor Subscriber Content

2017 Briefings on APCs index
Source: Revenue Cycle Advisor
Review the stories and topics Briefings on APCs covered in 2017, including Q&As and OPPS Advisor columns. 
 

Daily Q&A
Q&A: Understanding SOI and ROM in the APR-DRG system
Source: ACDIS
Q: I need some help understanding severity of illness and risk of mortality as it’s my first encounter with APR-DRG factors that may affect reimbursement. First, how does one measure the SOI and ROM? Could you elaborate on how complications or comorbidities and major CCs affect severity levels?

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CMS inpatient-only list: Preparing for critical changes in 2018

Each year CMS revises its inpatient-only list of approximately 1,700 procedures. The most notable changes to the list that went into effect January 1, 2018, include the addition of coronary revascularization during an acute myocardial infarction and the removal of total knee arthroplasty. 
 

Upcoming CMS Events
Tuesday 1/30- Q&A Open Forum: BPCI Advanced Model Overview and Application Process
Tuesday 1/30- Long-Term Services and Supports Open Door Forum
Monday 2/5- The Merit-based Incentive Payment System: Annual Call for Measures and Activities
Tuesday 2/13- FY 2019 New Technology Town Hall Meeting
 

Product Spotlight

Confronting NCCI/MUE Processes: Reduce Edits and Eliminate Obstacles

During this 90-minute webinar, expert 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 why edits should be appealed and how facilities can create processes for billing and coding departments to manage edits.
 

    

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