The improper payment rate for hospital outpatient services for the 2016 Comprehensive Error Rate Testing report period was 5.4%.
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News

Majority of improper payments for hospital outpatient services were due to insufficient documentation, CMS says
Source: ACDIS

The improper payment rate for hospital outpatient services for the 2016 Comprehensive Error Rate Testing report period was 5.4%, which accounts for 7.5% of the overall Medicare fee-for-service improper payment rate.
CMS introduces online course on Merit-based Incentive Payment System Alternative Payment Models
Source: Revenue Cycle Advisor
CMS now offers an elearning opportunity on the Quality Payment Program (QPP) through the MLN Learning Management System. This course is the fifth in a growing curriculum on the QPP and will offer 0.5 AMA PRA Category 1 Credits. 
Case Management Monthly quiz

Case Management Monthly subscribers, your CE quiz is now available. Please see the September issue for more information.
 

Revenue Cycle Advisor Subscriber Content

Security Q&A: Accounting of disclosures, minimum necessary, and encryption
Source: Revenue Cycle Advisor
This month's Q&A answers readers' questions about disclosing PHI and encryption.
 

Daily Q&A

Q&A: Mutually exclusive procedures
Source: Revenue Cycle Advisor
Q: Under what circumstances could two services be considered mutually exclusive?

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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

Medicare Billing Edits: A Guide to Regulation, Research, and Resolution

This book helps readers understand Medicare claims edits and give them practical tools and information to efficiently handle these edits, helping to ensure compliance and protect revenue. This robust offering includes a book, webinar, FAQs, and downloadable resources that help break down the definition, resolution, and tracking of NCCI edits and MUEs.
 

    

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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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