Despite opposition from many stakeholders, a bipartisan contingent of Congress, and CMS’ own advisory panel, the agency is moving forward with its plan to drastically cut payments for drugs acquired through the 340B drug discount program.
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News
2018 OPPS final rule: CMS to cut 340B drug program payments by 22.5%, hospitals plan litigation
Source: Revenue Cycle Advisor

Despite opposition from many stakeholders, a bipartisan contingent of Congress, and CMS’ own advisory panel, the agency is moving forward with its plan to drastically cut payments for drugs acquired through the 340B drug discount program, according to the 2018 OPPS final rule, released November 1.
Exploring the importance of best practices for EHRs, coding guidelines, and queries
Source: JustCoding
Crystal Stalter, CDIP, CCS-P, CPC, writes about the benefits of creating best practices at your facility and how they help avoid time lost and unnecessary delays in payment. 
Analysis of provider-based departments could provide revenue opportunities
Source: HealthLeaders Media
Healthcare executives should challenge assumptions about how to operate current and new service lines by conducting detailed financial analysis. 
 

Revenue Cycle Advisor Subscriber Content

Note from the instructor: A method to approach target, probe, and educate pre-payment audits
Source: Revenue Cycle Advisor
This week's note reviews pre-service coverage analysis processes in light of the recent CMS decision to delegate the target, probe, and educate medical review strategy to the Medicare Administrative Contractors. 
 

Daily Q&A
Q&A: Appropriate attire for home health staff
Source: Revenue Cycle Advisor
Q. I work for a home health agency. They’ve recently instructed us not to wear scrubs, lab coats, or anything that could obviously identify us as healthcare professionals. They’ve asked us to wear more business/professional casual attire because some patients complained that their neighbors saw nurses coming into the house and were concerned it was a HIPAA violation. Is this really a HIPAA concern, or could this be considered an incidental disclosure?

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

ICD-10-CM/PCS Diabetes Coding: Decipher Clinical Criteria and Documentation

Join speakers Nena Scott, MSEd, RHIA, CCS, CCS-P, CCDS, and Pam Hess, MA, RHIA, CDIP, CCS, CPC, for this 90-minute webinar as they discuss 2018 ICD-10-CM/PCS coding changes and challenges for reporting diabetes. The speakers will explain best practices for clinical documentation of diabetic conditions, present pertinent coding and documentation guidelines, and identify ICD-10 changes for associated diabetic conditions.
 

    

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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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