A CMS representative solicited input from audience members on potential revisions to E/M documentation guidelines at the AMA’s 2018 CPT Symposium in Chicago this week.

Friday, November 17, 2017

News

CMS discusses potential E/M updates at 2018 CPT Symposium
Source: Revenue Cycle Advisor
A CMS representative solicited input from audience members on potential revisions to E/M documentation guidelines at the AMA’s 2018 CPT Symposium in Chicago this week, continuing the agency’s outreach on E/M reform that began with this year’s Medicare Physician Fee Schedule proposed rule. 
Tip of the week

Completing an analysis of a facility’s E/M code utilization can pinpoint or resolve systematic gaps with clinical documentation, the capture of separately billable services, and under- or over-assignment of the E/M level.

Vickie Bridge, RHIA, CPHQ, senior consultant at Prism Healthcare Partners, Ltd., in Chicago

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Revenue Cycle Advisor Subscriber Content

You may be falling short in disaster planning
Source: Revenue Cycle Advisor
Catastrophic hurricanes, mass shootings, and devastating wildfires—this autumn brought disasters that affected many regions of the country, which should have prompted organizations to consider how well equipped they are to handle such events.
 

Daily Q&A

Q&A: Billing moderate sedation for a physician
Source: Revenue Cycle Advisor
Q: Does a physician physically need to inject a sedating agent to justify the use of a moderate sedation code?

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Upcoming CMS Events

Tuesday 11/28 -  Special Open Door Forum: Revisions to DMEPOS Quality Standards for Therapeutic Shoe Inserts
Thursday 11/30 - Quality Payment Program Year 2 Final Rule Call
Tuesday 12/5 - Medicare Diabetes Prevention Program Model Expansion Call
Thursday 12/14 -  National Partnership to Improve Dementia Care and QAPI Call
 

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Core Functions of Revenue Integrity

As more facilities develop revenue integrity programs and departments, there is an ever greater need to develop educational materials and training for these professionals. NAHRI's Core Functions of Revenue Integrity examines how each piece of revenue integrity comes together on a macro and a micro level by looking through the lens of 10 core functions.

 

    

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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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