Trouble viewing? See it online! Thursday, July 16, 2020
 

News
Navigate modifier reporting for COVID-19 visits
Source: JustCoding
Coders must apply modifiers to CPT codes for select services rendered during the novel coronavirus (COVID-19) public health emergency to ensure that providers are paid in full for documented work. This article details reporting of telehealth modifiers -95, -G0, and -GQ, and emergency modifiers -CR and -CS. 
OIG audit finds hospital upcodes overbilled Medicare by $1 billion
Source: HealthLeaders Media
Hospitals upcoded severe malnutrition diagnosis codes on inpatient hospital claims in 2016 and 2017, reaping an estimated $1 billion in overpayments over the span, according to an audit by the Department of Health and Human Services Office of Inspector General (OIG).
 

Revenue Cycle Advisor Subscriber Content

Note from the instructor: Coverage, billing, and payment for blood products and related services under Part B
Source: Revenue Cycle Advisor
This week's note from the instructor discusses how to apply the blood deductible under parts A and B, and it looks at the coverage, billing, and payment rules unique to blood products and related services. 
 

Daily Q&A
Q&A: Preventing accidental disclosures
Source: Revenue Cycle Advisor
Q: Many media organizations are filming outside the premises or sometimes even in the hospital. How can hospitals prevent accidental disclosures—a patient’s face showing up in the background during an interview, for example? What should the rules be for media looking to film at the facility?

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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
Thursday, 7/16 - National Nursing Home Training Series: Reopening Considerations
Wednesday, 7/22 - Noninvasive Positive Pressure Ventilation in the Home for Chronic Respiratory Failure Consequent to Chronic Obstructive Pulmonary Disease
 

Product Spotlight

The Certification in Healthcare Revenue Integrity

The CHRI credential offers revenue integrity professionals the opportunity to hone and validate their knowledge base while ensuring facilities have a benchmark by which to measure the competency of their staff and to recruit team members who are committed to bringing value to the industry and staying abreast of changes in regulations and best practices.
 

    

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Coronavirus and Pandemic Response

Find the latest resources on preparing your facilities to respond to the ongoing COVID-19 outbreak.
 
 

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.

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