Using AI-powered automation to follow up on the status of outstanding claims resulted in increased revenues and cost savings for one health system.
Thursday, June 13, 2019
 

News

ICD-10-CM coding for neoplastic diseases
Source: JustCoding
Diagnosis coding for neoplasms can be particularly challenging, as neoplasms are classified by site, behavior, and morphology. Review ICD-10-CM coding and guidelines for reporting solid organ tumors and cancers affecting the bone marrow and lymphatic system.
How using AI automation for outstanding claims accelerated cash flow by $20.6M
Source: HealthLeaders Media
Using AI-powered automation to follow up on the status of outstanding claims resulted in increased revenues and cost savings for one health system.
 

Revenue Cycle Advisor Subscriber Content

Note from the instructor: Patients, paperwork, and providers (and not necessarily in that order)
Source: Revenue Cycle Advisor
This week's note from the instructor looks at the progress CMS has made in reducing burden through the Patients over Paperwork initiative and explores potential topics for providers to comment on to drive additional improvement. 
 

Daily Q&A

Q&A: Referral appointments to 42 CFR Part 2 programs
Source: Revenue Cycle Advisor
Q: I work for a behavioral health recovery center, and many of our programs fall under 42 CFR Part 2, as we provide substance use services. Sometimes a referring agency follows up to ask if a client has scheduled an appointment. Can we confirm that a patient has made an appointment? Do referral appointments like this fall under PHI?

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Upcoming CMS Events

Thursday, 6/20 - Ligature Risk in Hospitals Listening Session
Monday, 6/24 - Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes for the CLFS for CY 2020
Thursday, 6/27 - Hospital Co-location Listening Session
Monday, 7/22 - Public Meeting of the Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests
 

Product Spotlight

2019 Revenue Integrity Symposium

The Revenue Integrity Symposium brings together training on revenue integrity, Medicare billing and compliance, patient status, coding, clinical documentation improvement, and case management, helping attendees ensure accurate billing and reimbursement. It offers sessions on revenue integrity topics and the chance to learn from and network with trusted industry experts and revenue cycle professionals of all varieties.

 

    

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What's New

State of the Revenue Integrity Industry Survey Report

Download the 2019 survey report from the National Association of Healthcare Revenue Integrity that looks at the roles of revenue integrity professionals and activities for which they are responsible.

 
 

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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