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News
CareWell Urgent Care to pay $2 million to settle upcoding allegations
Source: ACDIS

CareWell Urgent Care Centers, which operates 16 urgent care centers in Massachusetts and one in Rhode Island, has agreed to pay $2 million to settle whistleblower allegations that the company submitted inflated and upcoded claims to Medicare and Medicaid, according to the Department of Justice.
Judge: HHS must devise reimbursement plan for unlawful 340B payment reduction
Source: Revenue Cycle Advisor
U.S. District Judge Rudolph Contreras last week reaffirmed that the U.S. Department of Health and Human Services (HHS) exceeded its authority when it made 2018 payment cuts to outpatient hospitals for certain drugs purchased through the 340B drug pricing program and extended the ruling to 2019 payment cuts.
HIM director and manager salary survey

HIM Briefings is conducting its annual HIM director and manager salary survey. Click here to take the survey and enter for a chance to win a free HCPro webinar.
 

Revenue Cycle Advisor Subscriber Content

Addressing information sharing and care coordination concerns with clinical staff
Source: Revenue Cycle Advisor
Care coordination has been at the heart of recent healthcare redesign efforts, which includes integrating primary care with behavioral and mental healthcare, but misunderstandings about how and when HIPAA applies can lead to unnecessary delays and leave organizations vulnerable to compliance risks.
 

Daily Q&A
Q&A: Determining the deadline for returning overpayments
Source: Revenue Cycle Advisor
Q: What is the deadline for refunding Medicare overpayments?

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Upcoming CMS Events
Monday, 5/13 - CMS HCPCS Public Meetings Day 1
Tuesday, 5/14 - CMS HCPCS Public Meetings Day 2
Wednesday, 5/15 - CMS HCPCS Public Meetings Day 3
Thursday, 5/16 - Promising Practices for Duals with Substance Use Disorders Webinar
 

Product Spotlight

Patient Status Pocket Cards for Physicians

This easy-to-use reference guide assists physicians in making critical decisions regarding the appropriateness of patient status, which can result in Medicare billing and revenue implications for your healthcare organization. The 2019 version is updated to include the most recent regulations on patient status and application of the 2-midnight rule.
 

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