This week’s Medicare updates include the quarterly listing of program issuances and a fact sheet on the federal health exchange’s 2018 open enrollment period.
Trouble viewing? See it online! Wednesday, November 1, 2017

News
This week in Medicare updates—11/1/2017
Source: Revenue Cycle Advisor
This week’s Medicare updates include the quarterly listing of program issuances, a fact sheet on the federal health exchange’s 2018 open enrollment period, revised instructions for certificate of medical necessity and durable medical equipment information forms, and more! 
Report: Midcycle revenue loss linked to inadequate documentation
Source: Revenue Cycle Advisor
The largest source of estimated revenue loss in the healthcare midcycle in 2016 was attributed to inadequate documentation, according to a report by the Advisory Board.
 

Revenue Cycle Advisor Subscriber Content

Review coding for HCCs
Source: Revenue Cycle Advisor
Mastering hierarchical condition categories (HCC) is key to success under new reimbursement methodologies that rely on risk-adjustment, quality, and value metrics such as the Quality Payment Program. Organizations need to take a close look at their training and audit programs to ensure that valuable information isn’t being left out of documentation—and negatively impacting HCC scores.
 

Daily Q&A
Q&A: The licensed versus non-licensed case manager
Source: Revenue Cycle Advisor
Q: What's the distinction between the case manager and non-lincensed case manager extender?

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
Thursday 11/2 - Definition of a Hospital: Primarily Engaged Requirement
Thursday 11/2 - Skilled Nursing Facilities/Long Term Care Open Door Forum
Thursday 11/9 - New Medicare Card Project Special Open Door Forum
Thursday 11/16 - Skilled Nursing Facility Value-Based Purchasing Program FY 2018 Final Rule Call
 

Product Spotlight

Inpatient Admissions and the 2-Midnight Rule: Your Questions Answered

During this interactive 90-minute webinar, expert speakers Kimberly A. Hoy Baker, JD, CPC, and Ralph Wuebker, MD, MBA, will discuss Medicare inpatient admission requirements, utilization review, and patient status and medical necessity regulatory updates. They will then respond to pre-submitted and live audience questions, giving facilities insight into the unique challenges they face with inpatient admissions.
 

    

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What's New

Navigating the Medicare appeals process

Revenue Cycle Advisor subscribers can access this infographic outlining the levels of Medicare appeals and impact on recoupment and interest.
 
 

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