Case managers must begin to learn the skill of brokering for care.
Trouble viewing? See it online! Tuesday, July 3, 2018
 

News
Partnering with payer case managers/utilization nurses
Source: Revenue Cycle Advisor
Case managers must begin to learn the skill of brokering for care. The goal of private payers is to provide the most cost-effective care that meets medical necessity for services and increases likelihood for recovery. 
AMGA endorses 14 metrics for quality and value reporting
Source: HealthLeaders Media
The new measurement set is designed to generate valuable clinical care and outcome data without placing a crushing administrative burden on physicians and their organizations.
 

Revenue Cycle Advisor Subscriber Content

CMS clarification leads to more confusion over bilateral indicator for new HCPCS code
Source: Revenue Cycle Advisor
In the April 2018 OPPS update transmittal, CMS announced new HCPCS code C9749 (repair of nasal vestibular lateral wall stenosis with implant[s]), effective April 1, 2018.
 

Daily Q&A
Q&A: RACs, MACs, and CERT
Source: ACDIS

Q: What’s the difference between RACs, MACs, and the CERT?

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Tuesday, 8/21 - Advisory Panel on Hospital Outpatient Payment Meeting, Day 2
 

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The 2018 Pocket Guide for Coding Professionals

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Staying the Course on Value

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