CMS had a 71.3% improper payment rate for surgical dressings in 2017, accounting for 0.3% of the overall Medicare Fee-For-Service improper payment rate that year.
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News
CMS launches initiatives to cut down fraud and waste in Medicaid
Source: ACDIS
CMS has announced new initiatives to improve Medicaid program integrity “through greater transparency and accountability, strengthened data, and innovative and robust analytic tools."
CERT: $126.9 million in improper payments for insufficient documentation of surgical dressings
Source: Revenue Cycle Advisor
CMS had a 71.3% improper payment rate for surgical dressings in 2017, accounting for 0.3% of the overall Medicare Fee-For-Service improper payment rate that year, according a Comprehensive Error Rate Test (CERT) report in the most recent Medicare Quarterly Provider Compliance Newsletter.
 

Revenue Cycle Advisor Subscriber Content

Product watch: Cygilant SOCVue
Source: Revenue Cycle Advisor
The HIPAA Security Rule requires information systems activity review, but a number of covered entities and business associates have yet to implement a robust security program that includes monitoring audit logs. Per the preamble to the Omnibus Rule, if audit logs are generated and you’re not looking at them periodically, that could be considered willful neglect.
 

Daily Q&A
Q&A: Using the patient portal to reduce workloads
Source: Revenue Cycle Advisor
Q: My organization is trying to leverage our patient portal to help reduce workload. How should we approach this project?

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Upcoming CMS Events
Wednesday, 7/25 -  MEDCAC - Transcatheter Aortic Valve Replacement
Monday, 8/20 - Advisory Panel on Hospital Outpatient Payment Meeting, Day 1
Tuesday, 8/21 - Advisory Panel on Hospital Outpatient Payment Meeting, Day 2
Wednesday, 8/22 - MEDCAC - Chimeric Antigen Receptor (CAR) T-Cell Therapy and Patient Reported Outcomes
 

Product Spotlight

Auditing for Commercial and Government Payers Virtual Workshop: Smart Data for the Next Generation of Audits

In this intensive three-hour program, expert speakers Sharon Easterling, MHA, RHIA, CCS, CDIP, CRC, FAHIMA, and William L. Malm, ND, RN, CRCR, CMAS, will walk participants through the different types of audits, the current audit landscape and goals for both internal and external audits, and the impact of coding and documentation on audit outcomes.
 

    

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What's New

Eight Strategies to Cut Denials, Speed Payment

Revenue cycle leaders cannot go it alone when it comes to navigating roadblocks to reimbursement. Front- and back-end staff play an integral role as well.
 
 

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