This week’s Medicare updates include coding and payment information for the Johnson & Johnson COVID-19 vaccine, an OIG report on trends toward more expensive inpatient hospital stays, an MLN article on billing for services when Medicare is a secondary payer, and more!
Trouble viewing? See it online! Wednesday, March 3, 2021
 

News
This week in Medicare updates—3/3/2021
Source: Revenue Cycle Advisor
This week’s Medicare updates include coding and payment information for the Johnson & Johnson COVID-19 vaccine, an OIG report on trends toward more expensive inpatient hospital stays, an MLN article on billing for services when Medicare is a secondary payer, and more!
CMS issues reminder on MSP billing rules, appeal options
Source: Revenue Cycle Advisor
CMS is reminding organizations of Medicare Secondary Payer (MSP) billing and appeal processes after the agency inappropriately denied some claims.
 

Revenue Cycle Advisor Subscriber Content

Defining coders’ role in HCC accuracy
Source: Revenue Cycle Advisor
Supporting accurate Hierarchical Condition Category (HCC) capture is essential to success under the growing number of risk-adjusted payment models. With their strong knowledge of coding and documentation guidelines and insight into emerging trends, coders are a key part of that strategy.
 

Daily Q&A
Q&A: New UnitedHealthcare guidelines
Source: Revenue Cycle Advisor
Q: As of May 1, UnitedHealthcare, the largest health insurance company in the United States, will be switching from using Milliman Care Guidelines to InterQual. How will this affect organizations, and what can they do to smooth the transition?

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, 3/9 - ICD-10 Coordination and Maintenance Committee Meeting
Wednesday, 3/10 - ICD-10 Coordination and Maintenance Committee Meeting
 

Product Spotlight

Mastering Utilization Review and Patient Status: A NAHRI Virtual Event

Bring your team to this one-of-a-kind virtual event to learn the latest strategies for concurrent and retrospective UR, Part A to B rebilling, inpatient-only list management, and prior authorization so you can protect your bottom line. Attendees can view sessions live or access all educational sessions for 60 days after the event.
 

    

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