This week’s Medicare updates include the release of the 2019 ICD-10-CM code set, updates to the OIG Work Plan, a fact sheet on qualifying APM status in the Quality Payment Program, and more!
Trouble viewing? See it online! Wednesday, June 20, 2018
 

News
This week in Medicare updates—6/20/2018
Source: Revenue Cycle Advisor
This week’s Medicare updates include the release of the 2019 ICD-10-CM code set, numerous updates to the OIG Work Plan, a fact sheet detailing how CMS determines qualifying APM status in the Quality Payment Program, and more!
Medicare Advantage plans to undergo OIG review for inappropriate denials
Source: Revenue Cycle Advisor
The Office of Inspector General (OIG) plans to address concerns regarding capitated payment models by putting preauthorization denials under review.
 

Revenue Cycle Advisor Subscriber Content

Code check: Resolving NCCI edits
Source: Revenue Cycle Advisor
When evaluating a code edit, it’s necessary to understand exactly when or where in the claim or billing process the edit arose. Look to coding guidance to help edit resolution efforts.
 

Daily Q&A
Q&A: The role of case management in lowering medication costs
Source: Revenue Cycle Advisor
Q: How can case managers and social workers assist patients in lowering medication costs?

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Upcoming CMS Events
Wednesday, 6/20 - Medicare Diabetes Prevention Program: Supplier Enrollment Call
Thursday, 6/21 - IMPACT Act: Frequently Asked Questions Call
Monday, 6/25 - Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes for the Clinical Laboratory Fee Schedule for CY 2019
Wednesday, 6/27 - Home Health Agencies: Quality of Patient Care Star Ratings Algorithm Call
 

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What's New

2018 State of the Revenue Integrity Industry Survey Report

This survey from the National Association of Healthcare Revenue Integrity looks at the activities, backgrounds, and challenges for revenue integrity professionals.
 
 

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