Value-based payment systems like Medicare’s Merit-based Incentive Payment System hold providers accountable for population health measures driven by factors beyond their control, and this has resulted in a misalignment in accountability.
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News
Population health efforts require accountability realignment, researchers say
Source: Revenue Cycle Advisor
Value-based payment systems like Medicare’s Merit-based Incentive Payment System hold providers accountable for population health measures driven by factors beyond their control, resulting in a misalignment in accountability, according to a commentary in the American Journal of Accountable Care.
Further Medicare expansion could diminish hospital revenues, but action required
Source: HealthLeaders Media
Potential Medicare expansion plans would drastically impact the financial standing of health systems, though some may be more pragmatic solutions than others.
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Revenue Cycle Advisor Subscriber Content

Reinforce CPT coding for arthroscopic hip and knee procedures
Source: Revenue Cycle Advisor
Coding for knee arthroscopies can be challenging, especially when procedures are performed in multiple compartments of the same knee. Read about anatomy and coding details required to accurately report these procedures.
 

Daily Q&A
Q&A: Acute versus chronic PE/DVT
Source: ACDIS
Q: One of my CDI staff members recently asked me for resources to help differentiate between an acute pulmonary embolism (PE)/ deep vein thrombosis(DVT) and a chronic PE/DVT. She’s looking for anything that could help her explain the difference to a physician, but I’m having trouble finding any resources.

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The Essential Guide to Healthcare Payer Contracting

Payer contracting is integral to ensuring facilities are paid appropriately. Unfortunately, both the contracting process and the payer contracts themselves can be difficult to navigate. This comprehensive book covers a range of payer contracting essentials to ensure it meets the needs of both seasoned professionals and those working on their first contract.
 

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