The number of providers participating in CMS’ BPCI Advanced payment model has declined by 16% since the program started five months ago.
Trouble viewing? See it online! Monday, May 6, 2019
 

News
BPCI Advanced participation down 16% in the first five months
Source: ACDIS
The number of providers participating in CMS’ BPCI Advanced payment model has declined by 16% since the program started five months ago.
OIG says Essence overpaid the federal government an estimated $158,000 for certain high-risk diagnoses
Source: Revenue Cycle Advisor
Findings from an Office of Inspector General (OIG) audit show that Essence Healthcare Inc. submitted claims with high-risk ICD-10-CM codes for acute stroke and major depressive disorder that did not comply with federal requirements, resulting in at least $158,000 in overpayments to Medicare Advantage.
 

Revenue Cycle Advisor Subscriber Content

Patient records subpoenaed? Be careful how you answer or lose in court
Source: Revenue Cycle Advisor
If a lawyer hits you with a subpoena for a patient’s protected health information, don’t panic—or you may not only violate the patient’s privacy rights under HIPAA, but also be subject to civil action under state law.
 

Daily Q&A
Q&A: Keeping up with add-on code edits
Source: Revenue Cycle Advisor
Q: Where can I find the most recent list of add-on code edits? How often is it updated?

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The Revenue Integrity Work Plan: Collaboration, Communication, Comprehension

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