Trouble viewing? See it online! Thursday, January 31, 2019
 

News
Navigating medical necessity guidance in the outpatient setting
Source: JustCoding
In the current healthcare climate the issue of medical necessity documentation, or lack thereof, is one of the most common reasons for claim denials. Review medical necessity guidance from CMS and learn how to prevent repeated denials due to improper documentation of medical necessity.
Deputy HHS Secretary Hargan talks Stark Law, kickbacks
Source: HealthLeaders Media
HHS is examining ways to modernize the Stark Law to provide patients with more care options without undermining the rule's protections, according to Deputy Secretary Eric Hargan.  
Tell us about your facility’s release of information department for a chance to win a free webinar!

HIM Briefings is conducting a benchmarking survey on release of information. Click here to complete the survey and enter for a chance to win a free HCPro revenue cycle webinar. All respondents will receive a complimentary copy of the survey report.
 

Revenue Cycle Advisor Subscriber Content

Note from the instructor: CMS provides clarification regarding the removal of TKA from the inpatient-only list and the 2-midnight rule
Source: Revenue Cycle Advisor
This week's note from the instructor discusses recent guidance from CMS on how to handle the removal of total knee arthroplasty (TKA) from the inpatient-only list and the 2 midnight rule. 
 

Daily Q&A
Q&A: Allowing patients access to their medical records
Source: Revenue Cycle Advisor
Q: Is it a HIPAA violation if a provider refuses to allow patients to see their record?

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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, 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

Deciphering Denials Data: Improve Processes for Better Analysis and Prevention

Medicare and commercial payers aggressively audit and deny claims using data analysis, but few provider organizations proactively utilize data analysis to prevent and address those denials. Join Tracey A. Tomak, RHIA, PMP, for this 90-minute webinar and interactive Q&A to learn how to apply a data- and team-based denials prevention program at your facility.
 

    

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