This week’s Medicare updates include proposed rules for the FY 2019 Skilled Nursing Facility Prospective Payment System (PPS), Inpatient Rehabilitation Facility PPS, Inpatient Psychiatric Facility PPS, and Hospice Wage Index and Payment Rate Update; the quarterly listing of Medicare program issuances; a guide on multi-payer model requests for advanced APM determinations; and more!
Trouble viewing? See it online! Wednesday, May 9, 2018

News
This week in Medicare updates—5/9/18
Source: Revenue Cycle Advisor
This week’s Medicare updates include proposed rules for the FY 2019 Skilled Nursing Facility Prospective Payment System (PPS), Inpatient Rehabilitation Facility PPS, Inpatient Psychiatric Facility PPS, and Hospice Wage Index and Payment Rate Update; the quarterly listing of Medicare program issuances; a guide on multi-payer model requests for advanced APM determinations; and more!
CMS reminds providers of recently clarified modifier -KX guidance
Source: Revenue Cycle Advisor
CMS recently clarified the use of modifier -KX (requirements specified in the medical policy have been met) in response to an Office of Inspector General report that identified conflicting guidance that resulted in $4.6 million in improper payments.
HIM directors and managers: We want to hear from you
HCPro is conducting its annual HIM director and manager salary survey. Share your feedback on compensation, work culture, and salary trends and be entered for a chance to win a free HCPro revenue cycle webinar of your choice. Click here to take the survey.
 

Revenue Cycle Advisor Subscriber Content

Leverage HIM skills to excel in MACRA
Source: Revenue Cycle Advisor
Success under MACRA relies on the capture and maintenance of trustworthy clinical and financial patient data sets. HIM professionals understand root cause analysis, the mechanism of reporting data, and the importance of data consistency and integrity.
 

Daily Q&A
Q&A: Documenting discharge plans on rounds
Source: Revenue Cycle Advisor
Q: How can case managers ensure they are effectively capturing discharge details during rounds?

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Upcoming CMS Events
Thursday 5/10 - Special Open Door Forum: Home Oxygen Therapy – Provider Documentation Manual
Wednesday 5/16 - Quality Payment Program: Answering Your Frequently Asked Questions Call
Tuesday 5/22 - Settlement Conference Facilitation Expansion Call
Wednesday 6/25 - Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes for the Clinical Laboratory Fee Schedule for CY 2019
 

Product Spotlight

The Essential Guide to Coding Audits

This book takes an in-depth look at the coding auditing process, ranging from external audits and accuracy rates to structuring your own internal coding audit program. It can be your constant companion and reference throughout the audit-refining process, and is a must have for those looking to avoid denials and produce the most accurate claims possible.
 

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What's New

Uncompensated care calculation

Kimberly A. H. Baker, JD, CPC, writes about a new CMS calculation for uncompensated care that presents an opportunity and compliance risk for DSH hospitals.
 
 

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