CMS modified its proposal to expand prior authorization and step therapy to protected classes of drugs for Part D and Medicare Advantage beneficiaries, according to a final rule released May 16.
Trouble viewing? See it online! Wednesday, May 22, 2019
 

News
This week in Medicare updates—5/22/2019
Source: Revenue Cycle Advisor
This week’s Medicare updates include a final rule on Medicare Advantage drug pricing, the quarterly update for HCPCS drug/biological codes, an update to claim status and claim status category codes, and more!  
CMS backs off from Part D and Medicare Advantage step therapy proposals
Source: Revenue Cycle Advisor
CMS modified its proposal to expand prior authorization and step therapy to protected classes of drugs for Part D and Medicare Advantage beneficiaries, according to a final rule released May 16.
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

Reporting lower extremity PAD in ICD-10-PCS
Source: Revenue Cycle Advisor
Adriane Martin, DO, FACOS, CCDS writes about the signs and symptoms of peripheral arterial disease (PAD) and ICD-10-PCS guidelines for reporting the condition.
 

Daily Q&A
Q&A: The benefits of model practice acts for case management
Source: Revenue Cycle Advisor
Q: What is a model practice act and what are its benefits?

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Upcoming CMS Events
Wednesday, 6/05 - Post-Acute Care QRPs: Reporting Requirements and Resources Call
Monday, 6/24 - Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes for the CLFS for CY 2020
Monday, 7/22 - Public Meeting of the Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests
Tuesday, 7/23 - Public Meeting of the Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests
 

Product Spotlight

JustCoding’s 2019 ICD-10-PCS and CPT Clinical Scenario Workbooks

These books provide an opportunity for coders to practice and refine their skills in a hands-on way by using a wide range of real-life case scenarios. Dozens of cases in both the CPT and ICD-10-PCS editions include instruction on reporting procedures and ICD-10-CM diagnosis codes using official guidance. The books also include labeled illustrations for select cases that highlight important anatomic details.
 

    

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