Tuesday, March 28, 2017

News

Master clinical validation in your compliance workflow
Source: Justcoding
Red letter days in coding compliance occurred in December 2016 and January 2017 with the Office of Inspector General’s (OIG) release of two audit reports. These reports asserted that Northside Medical Center of Youngstown, Ohio, and Vidant Medical Center of Greenville, North Carolina, improperly submitted ICD-9-CM codes for marasmus and severe malnutrition.
How is your organization weathering MOON compliance?
Source: Revenue Cycle Advisor
Just before the Medicare Outpatient Observation Notice (MOON) requirement became effective March 8, CMS added another hoop to jump through in an open door forum held February 28. The discussion in that forum forced many organizations to change course at the last minute as CMS announced it would not allow pre-populated check boxes in the free-text field of the MOON designated for describing clinical reasons for the service the patient receives. 
Five keys to revenue cycle performance improvement
Source: HealthLeaders Media
John Muir Health launched an innovation initiative, added beer, and exceeded its first-year revenue goal.
 

Daily Q&A

Q&A: Payment for non-excepted provider-based cancer centers
Source: Revenue Cycle Advisor
Q: How are drugs and radiation paid for at a cancer center that became provider-based after November 2, 2015?

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

Wednesday 3/29 -  IMPACT Act: Standardized Patient Assessment Data Activities Call
Thursday 4/6 - Medicare Shared Savings Program ACO: Preparing to Apply for the 2018 Program Year Call
Thursday 4/13 - Open Payments: Prepare to Review Reported Data Call
Wednesday 4/19 - Medicare Shared Savings Program ACO: Completing the 2018 Application Process Call
 

Product Spotlight

Navigate 2017 Regulatory Challenges for Wound Care Coding and Billing

Join expert speaker Gloria Miller, CPC, CPMA, CPPM, as she explains the importance of Section 603 of the Balanced Budget Act for wound care clinics, OIG targets for 2017, and proper application of modifier -JW. Miller will also review details that providers must include in documentation to meet medical necessity for wound care procedures.

 

    

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What's New

The Two-Aspirin Headaches of Tomorrow's Clinicians

This new guide looks at four key challenges to clinical communication and workflow and how four hospitals overcame them.

 
 

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