The American Case Management Association announced November 6 that it has established the Association of Physician Leadership in Care Management to help reach physician leaders who are in roles that support case management.
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News
ACMA launches physician leadership association
Source: Revenue Cycle Advisor

The American Case Management Association announced November 6 that it has established the Association of Physician Leadership in Care Management to help reach physician leaders who are in roles that support case management. 
MACRA final rule draws mixed reactions
Source: HealthLeaders Media
AMGA, ACP, and CAPG note plusses and minuses of the final MACRA rule; groups optimistic that CMS will listen to their concerns.
 

Revenue Cycle Advisor Subscriber Content

CLFS revision to lead to 20% decrease in outpatient lab payments in 2018
Source: Revenue Cycle Advisor
Section 216(a) of the Protecting Access to Medicare Act of 2014 added a requirement that will dramatically revise the Medicare Clinical Laboratory Fee Schedule effective January 1, 2018.
 

Daily Q&A
Q&A: Claiming HCCs for CKD and diabetes
Source: Revenue Cycle Advisor
Q: A patient had a kidney/pancreas transplant. The dialysis fistula he had is not working, but remains in place and unused for over a year. He has stable stage IV chronic kidney disease (CKD). His diabetes is no longer being treated, and A1c, and blood sugars have been great. Should we be claiming HCC 134 or 137?

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
Tuesday 11/7 - Hospital Quality Open Door Forum
Wednesday 11/8 - Long Term Services and Supports Open Door Forum
Thursday 11/9 - New Medicare Card Project Special Open Door Forum
Monday 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

The complexities of the 2-midnight rule continue to challenge hospitals. During this 90-minute, interactive program, 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.
 

    

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What's New

How Ransomware affects HIPAA

Revenue Cycle Advisor subscribers can access this infographic on preventing and responding to ransomware attacks.
 
 

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