Members of the House of Representatives recently sent a letter to CMS administrator Seema Verma urging the agency to reconsider the fiscal year 2019 OPPS proposals, which would reduce payments to grandfathered off-campus hospital outpatient departments
Trouble viewing? See it online! Monday, October 29, 2018
 

News
UnitedHealthcare adopts sepsis-3 criteria for claims validation
Source: ACDIS
UnitedHealthcare recently announced recently that it will use sepsis-3 criteria for validating sepsis claims starting January 1, 2019, a move that could spell more denials for facilities.
Representatives express concern over proposed payment cuts to off-campus HOPDs
Source: Revenue Cycle Advisor
Members of the House of Representatives recently sent a letter to CMS administrator Seema Verma urging the agency to reconsider the fiscal year 2019 OPPS proposals, which would reduce payments to grandfathered off-campus hospital outpatient departments (HOPD).
Tell us about your coding productivity metrics for a chance to win a free webinar!
HIM Briefings is conducting its annual coding productivity benchmarking survey. Click here to complete the survey and see how your organization compares to others. Respondents may also opt in for a chance to win a free HCPro revenue cycle webinar.
 

Revenue Cycle Advisor Subscriber Content

Security Q&A: Collecting payment, contacting physicians, and overhearing examinations
Source: Revenue Cycle Advisor
This month's Q&A answers readers' questions on collecting payment, contacting physicians, overhearing medical examinations in the emergency department, and discussing the health of adult children.
 

Daily Q&A
Q&A: Establishing billing and revenue cycle metrics
Source: Revenue Cycle Advisor
Q: What are some key metrics we should monitor for billing and overall revenue cycle performance?

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, 10/30 - Physician Compare: Preview Period and Public Reporting Webcast
Wednesday, 11/14 - CMS Web Interface User Demonstration
Thursday, 11/15 - IRF Payment and Coverage Policies: FY 2019 Final Rule Call
Tuesday, 12/4 - FY 2020 New Technology Town Hall Meeting
 

Product Spotlight

Methods to Improve Price Transparency: Hospital Pricing Strategies for Success

The 2019 IPPS final rule finalized a policy that will require hospitals to post standardized prices on their websites for public consumption. During this 90-minute webinar, regulatory expert Valerie A. Rinkle, MPA, and hospital pricing strategist Brian Workinger will discuss strategies to improve the integrity of hospital prices for items and services.
 

    

SIGN UP | FORWARD | SPONSOR
 
 

What's New

Hospital Pharmacies Offer Source of Cost Savings

In this white paper, see how pharmacist patient-care oversight can help optimize medication usage and overall spending while reducing variations in care.
 
 

What is Revenue Cycle Advisor?

Revenue Cycle Advisor combines all of HCPro's revenue cycle and Medicare regulatory and reimbursement resources in one place—whether you’re looking for information on billing, coding, CDI, case management, finance, or HIPAA.

Don’t just read the news—read our in-depth expert analysis on the latest rules and regulations.

Click the links below to:
 

Career Center

Post your open positions or find your next career move with the HCPro Career Center.