CMS instructed Medicare Administrative Contractors to review previously denied 2018 outpatient therapy claims reported with modifier -KX.
Trouble viewing? See it online! Wednesday, March 28, 2018

News
This week in Medicare updates—3/28/18
Source: Revenue Cycle Advisor
This week’s Medicare updates include several corrections to transmittals issued regarding April 2018 payment system updates, four new resources for those participating in the Quality Payment Program via an alternative payment model, an OIG review of outpatient physical therapy billing, and more!
MACs to reprocess denied claims with modifier -KX
Source: Revenue Cycle Advisor
CMS instructed Medicare Administrative Contractors (MAC) to review previously denied 2018 outpatient therapy claims reported with modifier -KX. However, because MACs might not automatically review all denied therapy claims, providers will need to initiate the process.
 

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Master coding and documentation for AHRQ Patient Safety Indicators
Source: Revenue Cycle Advisor
Many hospitals find that their Patient Safety Indicator (PSI) ratios remain high despite doing a spectacular job of addressing these events and exclusions. That may be because they fail to realize that the Agency for Healthcare Research and Quality has a risk-adjustment methodology that predicts each of these PSIs and is dependent upon the documentation and coding of PSI-sensitive risk factors.
 

Daily Q&A
Q&A: Delivery of the follow-up Important Message from Medicare
Source: Revenue Cycle Advisor
Q: What guidelines should be followed when delivering the follow-up Important Message from Medicare? 

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