Trouble viewing? See it online! Friday, July 7, 2017

News
Anthem agrees to record-setting class action settlement for 2015 breach
Source: Revenue Cycle Advisor
Anthem, Inc., an Indianapolis-based insurer, agreed to pay a record-setting $115 million to settle a class action lawsuit filed over a 2015 breach that affected 78.8 million individuals.
Tip of the week

"If you have a laceration that extends down the face inferiorly from the eye to the cheekbone, you would first code the repair of the eyeball, then the eyelid skin or muscles, and then the cheek. You would code all of them, to their associated depth (skin, muscle, etc.), even if the eyelid is 'beneath' the globe," says Erica E. Remer, MD, FACEP, CCDS.
 

Revenue Cycle Advisor Subscriber Content

Proposed 2018 IPPS rule may ease documentation burden on critical access hospitals
Source: Revenue Cycle Advisor
CMS auditors may start to look the other way when it comes to enforcing the 96-hour certification requirement this fall. That’s according to the 2018 proposed IPPS rule, which could be beneficial for critical access hospitals.
 

Daily Q&A
Q&A: Creating an internal coding audit program
Source: Revenue Cycle Advisor
Q: I am the coding manager for our inpatient coding department. I am wondering if I should create an audit plan to monitor new coders or difficult diagnosis. If so, is there anything specific I should consider when trying to implement a plan?

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
Wednesday 7/12 - Creating and Verifying Your National Provider Identifier Call
Monday 7/31 - Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes
Tuesday 8/1 - Public Meeting for the Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests
Monday 8/21 - Advisory Panel on Hospital Outpatient Payment Meeting
 

Product Spotlight

The Complete Guide to Medical Necessity: JustCoding’s Training and Education Toolkit

This toolkit combines a book-length PDF, full-length webinar, and other essential tools and sample forms to provide coders with the training they need on properly coding while staying compliant with medical necessity requirements. This combined resource accommodates all styles of learning and provides valuable tools to help ensure ongoing compliance.
 

    

SIGN UP | FORWARD | SPONSOR
 
 

What's New

How Artificial Intelligence is Transforming Clinical Documentation

Explore how artificial intelligence–enabled technology and in-workflow clinical guidance are transforming clinical documentation across the care continuum.
 
 

Career Center

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