Thursday, March 2, 2017

News

Making sense of MUEs and MAIs
Source: Revenue Cycle Advisor
As OPPS packaging has increased, providers may be less likely to appeal claims for certain denied charges based on medically unlikely edits, since it would not increase payments. However, providers should consider appeals when services are medically necessary and appropriate, as CMS bases future payment rates on accepted claims. 
Delivery of the MOON is just a week away
Source: Revenue Cycle Advisor

The implementation deadline of the Medicare Outpatient Observation Notice (MOON) is just a week away, and the Hospital Open Door Forum on February 28 focused on the new form but gave few concrete answers.

Population health movement gains ground
Source: HealthLeaders Media
Armed with improved demographics data, the nation's safety net providers are poised to take population health initiatives beyond the hospital walls to help patients overcome economic and social barriers to health.
Stay in the loop on the National Association of Healthcare Revenue Integrity

Connect with other revenue integrity professionals! HCPro has created the National Association of Healthcare Revenue Integrity (NAHRI), a dedicated organization specifically for those in healthcare who work toward achieving revenue integrity in their organizations. For more information, sign up for NAHRI’s free e-newsletter, Revenue Integrity Insider.

 

Daily Q&A

Q&A: Password reset schedules
Source: Revenue Cycle Advisor
Q. Are we required to have employees change their passwords on a regular schedule? If so, how often should we reset passwords?

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

Tuesday 3/7 - ICD-10 Coordination and Maintenance Committee Meeting

Wednesday 3/15 - SNF VBP: Understanding Your Facility's Confidential Feedback Report Call
Tuesday 3/21 - National Partnership to Improve Dementia Care and QAPI Call
Wednesday 3/22 - MEDCAC Meeting - Health Outcomes in Heart Failure Treatment Technology Studies
 

Product Spotlight

Challenging Classic Paradigms in Revenue Integrity

Join Valerie A. Rinkle, MPA, and Elizabeth Lamkin, MHA, ACHE, on March 22 for this live 90-minute webinar as they challenge the classic paradigms in revenue integrity. They will help participants understand contemporary approaches to ensuring revenue integrity and go over how to create an organization wide revenue integrity plan.

 

    

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What's New

Discharge Planning: Realignment of Standards and Workflow

Members can access this 90-minute webinar covering discharge planning requirements and what they mean for the everyday routine of case managers and other hospital and postacute care staff members.

 
 

Career Center

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