Understanding when and how to report hospital modifiers is critical to ensuring compliant billing. Review CPT guidelines for modifiers -25, -50, and -59, as well as case studies and denial numbers by specialty, to reduce your risk from audits.
Trouble viewing? See it online! Thursday, June 21, 2018
 

News
Clarifying reporting for frequently misused modifiers -25, -50, and -59
Source: JustCoding
Understanding when and how to report hospital modifiers is critical to ensuring compliant billing. Review CPT guidelines for modifiers -25, -50, and -59, as well as case studies and denial numbers by specialty, to reduce your risk from audits.
Trump's China tariffs expected to pinch healthcare industry
Source: HealthLeaders Media
The administration included a variety of medical supplies in a list of Chinese goods subject to a 25% tariff beginning next month.
NAHRI's 2018 Revenue Integrity Salary Survey

NAHRI is a conducting a benchmarking survey on revenue integrity professional salaries and benefits. Respondents will have access to a copy of the report and can opt in to be entered for a chance to a win a free webinar. Click here to take the survey.
 

Revenue Cycle Advisor Subscriber Content

Note from the instructor: Recent updates to the I/OCE and the NCCI
Source: Revenue Cycle Advisor
This week's note from the instructor reviews the impact recent updates to the National Correct Coding Initative edits and Integrated Outpatient Code Editor will have on billing processes.
 

Daily Q&A
Q&A: General comments and the HIPAA Privacy Rule
Source: Revenue Cycle Advisor
Q: Is it a violation of the HIPAA Privacy Rule to make a comment while working at a pharmacy that “we’ve seen a lot of flu cases”?

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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, 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
Thursday, 6/28 - Data Collection System Listening Session
 

Product Spotlight

Longitudinal Case Management: Designs Across the Continuum of Care

Case management has grown beyond inpatient care sites; it now supports and manages care in ambulatory settings and during transition periods. This book provides practical advice on patient and family engagement, strategies for partnering with payer case managers and utilization review, definitions of roles, and road maps for those involved in case management.
 

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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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