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News

CDI best practices for E/M leveling
Source: Revenue Cycle Advisor
Regulatory compliance reforms have forced CMS to set the bar high for meeting evaluation and management (E/M) standards. This is especially true for clinical documentation improvement (CDI) performance for coding and billing level four and five patient visits in outpatient settings.
This week in Medicare updates–5/10/2017
Source: Revenue Cycle Advisor
This week’s Medicare updates include the April 2017 Medicare Quarterly Provider Compliance Newsletter, scribe services signature requirements, outlier limitation on OPPS Community Mental Health Centers Services, and more!
Value-based readiness
Source: HealthLeaders Media
Healthcare leaders are cautiously optimistic about the transition from fee-for-service to value-based care.
HIM Briefings’ HIM salary survey
Source: Revenue Cycle Advisor
HIM Briefings is conducting its annual benchmarking survey on HIM director and manager salaries, and we would appreciate your input. We will select one respondent at random to win a complimentary HCPro webinar. Click here to take the survey.
 

Daily Q&A

Q&A: What's changed with recurring or repetitive claim payments?
Source: Revenue Cycle Advisor
Q: Our billing office has noted that we have many recurring accounts that have seen a huge drop in reimbursement over the past couple of months. We have noted that our outpatient physical/speech therapy and speech-language pathologist accounts aren’t affected, but our wound care accounts are. What changed?

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 5/16 - CMS HCPCS Public Meetings for Drugs/Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents
Wednesday 5/17 - CMS HCPCS Public Meetings for Drugs/Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents
Thursday 5/18 - CMS HCPCS Public Meetings for Drugs/Biologicals/Radiopharmaceuticals/Radiologic Imaging Agents
Thursday 6/15 - National Partnership to Improve Dementia Care and QAPI Call
 

Product Spotlight

CDI Field Guide to Denials Prevention and Audit Defense

Hospitals must work to protect reimbursement, and a CDI program can help. With more than a dozen years’ experience working with CDI staff to defend claims and tighten procedures around documentation for auditor targets, author Trey La Charité, MD, FACP, SFHM, CCDS, provides step-by-step tools to improve denials prevention efforts.
 

    

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What's New

Four Areas Your Yearly Pricing Review Might Be Missing

Read this report to discover why these four areas are crucial to pricing strategy.
 
 

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