This week’s Medicare updates include a proposed rule on drug pricing transparency, an article on systemic validation edits for OPPS providers with multiple service locations, an update to the OIG Work Plan, and more!
Trouble viewing? See it online! Wednesday, October 24, 2018
 

News
This week in Medicare updates—10/24/18
Source: Revenue Cycle Advisor
This week’s Medicare updates include a proposed rule on drug pricing transparency, an article on systemic validation edits for OPPS providers with multiple service locations, an update to the OIG Work Plan, and more!
OIG: Medicare Advantage overturns 75% of its own claim denials
Source: NAHRI
The high volume of successful appeals, particularly on the first level, raises concerns that Medicare Advantage organizations were denying payment and authorization for services that should have been provided, the OIG said.
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Revenue Cycle Advisor Subscriber Content

Joint Commission surveys continue to identify documentation opportunities
Source: Revenue Cycle Advisor
Stay ahead of documentation challenges and avoid EMR pitfalls during your next survey.
 

Daily Q&A
Q&A: Tips for pediatric emergency department case managers
Source: Revenue Cycle Advisor
Q: What does a pediatric emergency department (ED) case manager have to consider that a case manager in an adult ED does not?

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Upcoming CMS Events
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Thursday, 11/15 - IRF Payment and Coverage Policies: FY 2019 Final Rule Call
Tuesday, 12/4 - FY 2020 New Technology Town Hall Meeting
 

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Hospital-Acquired Conditions Analysis

Researchers look at mortality, length of stay, and total hospital cost per case of hospital-acquired conditions using all-payer data from acute care hospitals.
 
 

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