News

Dementia patients twice as likely to develop COVID-19

Source: ACDIS

After adjusting for COVID-19 risk factors, age, sex, and race, people with dementia were twice as likely as other adults to develop COVID-19, according to a report published in Alzheimer’s and Dementia. Among those patients with dementia, Black patients were found to be almost three times as likely as white patients to develop COVID-19.

OIG: BCBS of Michigan overpaid the federal government $14.5 million for certain high-risk diagnoses

Source: Revenue Cycle Advisor

Findings from an Office of Inspector General (OIG) audit show that Blue Cross Blue Shield (BCBS) of Michigan submitted claims with high-risk ICD-10-CM codes that did not comply with federal requirements, resulting in at least $14.5 million in overpayments to Medicare Advantage (MA).

Revenue Cycle Advisor Subscriber Content

Approaching leadership about the HITECH Act amendment

Source: Revenue Cycle Advisor

It’s the age-old tale in healthcare: Your organization needs more resources, but leadership simply isn’t interested in helping out. “This has been a challenge since the pre-HIPAA days,” says Kate Borten, CISSP, CISM, HCISPP, founder of The Marblehead Group in Marblehead, Massachusetts. “It’s always been a challenge.”

Daily Q&A

Q&A: Recording use of waivers during the COVID-19 public health emergency

Source: Revenue Cycle Advisor

Q: Do we need to submit a formal request to CMS for any of the COVID-19-related waivers to apply? Do we need to keep records or documentation pertaining to which waivers we've used and the services they apply to?

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Upcoming CMS Events

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

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

Tuesday, 3/16 - Medicare Part A Cost Report Appeals Listening Session

Tuesday, 3/23 - Long-Term Care: Dementia-Related Pyschosis Call

Product Spotlight

Clean Up CPT/ICD-10-CM Coding and Billing for Wound Care

During this 90-minute live and on-demand webinar, Gloria Miller, CPC, CPMA, CPPM, will review the latest ICD-10-CM codes and coding guidelines applicable to wound care services. Miller will discuss best practices for wound care documentation, coding, and billing, and review substantial updates to the AMA’s E/M reporting guidelines.

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Coronavirus and Pandemic Response

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