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News

Compliance with provider-based department regulations
Source: Revenue Cycle Advisor
Reimbursement for provider-based departments (PBD) can be complex, and regulations affecting it have changed frequently over the past year. Hospitals must know the regulations inside and out and understand how they apply to their PBDs to avoid denials or noncompliance.
This week in Medicare updates–5/17/2017
Source: Revenue Cycle Advisor
This week’s Medicare updates include new CLIA waved tests, changes to the payment policies for Reciprocal Billing Arrangements and Fee-For-Time Compensation Arrangements (formerly “Locum Tenens Arrangements”), implementation of modifier -CG for Type of Bill 72x, and more!
Physician practice runs lean to weather financial storm
Source: HealthLeaders Media
One independent physician practice in Texas has deployed a retrenchment strategy to contain costs in the unsettled atmosphere of federal healthcare policy.
 

Daily Q&A

Q&A: Applying modifier -59 for knee arthroscopies
Source: Revenue Cycle Advisor
Q: Based on CPT Assistant, CPT code 29874 (knee arthroscopy with removal of loose/foreign body) may be reported with modifier -59 (distinct procedural service) if performed in a separate compartment from procedures 29875-29881. This advice conflicts with NCCI edits between codes 29874 and 29880. Do the NCCI edits override the advice in CPT Assistant?

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

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
Wednesday 6/7 - CMS HCPCS Public Meetings for DME and Accessories; O&P; Supplies and Other
Thursday 6/8 - CMS HCPCS Public Meetings for DME and Accessories; O&P; Supplies and Other
 

Product Spotlight

First Steps in Outpatient CDI: Tips and Tools for Building a Program

This first-of-its-kind book provides an overview of what outpatient CDI entails, covers industry guidance and standards for outpatient documentation, reviews the duties of outpatient CDI specialists, and examines how to obtain backing from leadership.
 

    

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What's New

Revenue Cycle Daily Advisor Helpful Links

Check out the latest updates to this collection of resources compiled by HCPro’s regulatory specialists.
 
 

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