CMS announced partial settlement agreements and instructions for Medicare Administrative Contractors in relation to several 2-midnight rule cases.
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News
CMS instructs MACs on 2-midnight rule settlement agreements
Source: Revenue Cycle Advisor
CMS announced partial settlement agreements and instructions for Medicare Administrative Contractors in relation to several 2-midnight rule cases.
CMS cut to outpatient drugs will hit some 340B hospitals hard
Source: HealthLeaders Media
The 340B program is intended to help safety net hospitals, but some others have taken advantage. A lack of transparency and accounting led to deep cuts for all participants.
Denials and appeals management education

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Revenue Cycle Advisor Subscriber Content

Federal actions highlight importance of following ethical coding standards
Source: Revenue Cycle Advisor
In July, Utah pain doctor Jahan Imani, MD, and Intermountain Medical Management, P.C., entered into a nearly $400,000 settlement with the OIG to resolve allegations that Imani’s practice submitted false or fraudulent claims due to improper modifier use for payment by improperly using modifier -59 with HCPCS code G0431.
 

Daily Q&A
Q&A: CDI expansion into OB/GYN
Source: ACDIS

Q: Do you have any suggestions for the antepartum patients that have long lengths of stays, but the DRG allows only two days?

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Upcoming CMS Events
Tuesday 11/14 - Rural Health Open Door Forum
Wednesday 11/15 - Home Health, Hospice, and Durable Medical Equipment/Quality Open Door Forum
Thursday 11/16 - Skilled Nursing Facility Value-Based Purchasing Program FY 2018 Final Rule Call
Thursday 11/30 - Quality Payment Program Year 2 Final Rule Call
 

Product Spotlight

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

The complexities of the 2-midnight rule continue to challenge hospitals. During this interactive webinar, 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 insight into challenges faced with inpatient admissions.
 

    

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Strategies for ensuring chargemaster accuracy

Subscribers can access this guide for ensuring chargemaster accuracy at their facility.
 
 

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