CMS recently agreed to settle an ongoing dispute with inpatient rehabilitation facilities over the backlog of denied Medicare claims.
Trouble viewing? See it online! Monday, July 1, 2019
 

News
Out-of-pocket costs rose 12% in 2018, study finds
Source: ACDIS
Out-of-pocket costs rose across all specialty care settings in 2018, according to a TransUnion Healthcare study released at the 2019 Healthcare Financial Management Association Conference.
CMS announces appeals settlement option for IRFs
Source: Revenue Cycle Advisor
CMS recently agreed to settle an ongoing dispute with inpatient rehabilitation facilities (IRF) over the backlog of denied Medicare claims.
 

Revenue Cycle Advisor Subscriber Content

Complex case: A patient commits insurance fraud
Source: Revenue Cycle Advisor
A medical center case manager must deal with a patient who presents a Medicaid insurance card that is not hers on admission.
 

Daily Q&A
Q&A: Determining UR reporting structure
Source: Revenue Cycle Advisor
Q: Our utilization review (UR) committee originally took a more strictly peer review role but over time its scope and responsibilities have broadened. We're not sure that it still makes sense for the UR committee to be categorized as a subcommittee of the medical staff. What is the current recommended reporting structure for a UR committee?

Need expert advice?
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
Monday, 7/22 - Public Meeting of the Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests
Tuesday, 7/23 - Public Meeting of the Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests
Monday, 8/19 - Advisory Panel on Hospital Outpatient Payment Meeting
Tuesday, 8/20 - Advisory Panel on Hospital Outpatient Payment Meeting
 

Product Spotlight

Text Me Your Symptoms: Making Sense of Medicare’s New Telehealth Policies

As the telehealth industry rapidly grows, hospitals and physician practices are rushing to assemble policies and procedures for providing these services to their patients. During this 90-minute webinar, telehealth policy experts Dave Ault, JD, Tricia Beckmann, JD, and Steve Lokensgard, JD, will clear up confusion over what Medicare covers and where telehealth services can be provided.
 

SIGN UP | FORWARD | SPONSOR
 
 

What's New

2019 Healthcare Management Liability Coverage Guide

Download this free guide for information on the current regulatory environment and how to anticipate challenges you could potentially face in the future.
 
 

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:
 

Career Center

Post your open positions or find your next career move with the HCPro Career Center.