This week's Medicare updates include an advance notice of proposed rulemaking regarding changes to Part B drug pricing, an OIG review of billing for inpatient services, the release of skilled nursing facility quality reporting data, and more!
Trouble viewing? See it online! Wednesday, October 31, 2018

News

This week in Medicare updates—10/31/18
Source: Revenue Cycle Advisor
This week’s Medicare updates include an advance notice of proposed rulemaking regarding changes to Part B drug pricing, an OIG review of billing for inpatient services, the release of skilled nursing facility quality reporting data, and more!
Proposed rule aims to expand Medicare Advantage telehealth benefits to urban locations, strengthen auditing
Source: Revenue Cycle Advisor
In a proposed rule released October 26, CMS introduced policies aimed at expanding Medicare Advantage (MA) telehealth benefits and increasing auditing and recovery of overpayments made to MA plans.
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Revenue Cycle Advisor Subscriber Content

Clinical documentation optimization: The debate roars on
Source: Revenue Cycle Advisor
Competing perspectives and priorities can lead CDI programs down the wrong path. Understand how differences in professional backgrounds and approaches to documentation can cause conflict in CDI.
 

Daily Q&A

Q&A: Outcomes and standards of practice
Source: Revenue Cycle Advisor
Q: Case managers used to evaluate their work in terms of tasks completed or length of stay (LOS). Now that LOS has more than a financial meaning, what are some meaningful outcomes case managers can use to set goals for their work?

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Upcoming CMS Events

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
Wednesday, 12/12 - CMS Web Interface Kick-Off
 

Product Spotlight

The Contemporary Guide to Patient Financial Services

With healthcare’s rising costs, selective consumers, and constantly changing regulations, creating a stable and successful patient financial services department that withstands industry changes and workplace turnover is integral to ensuring accurate reimbursement. This book covers a patient’s financial journey from pre-registration and scheduling through posting payments, managing collections, and tackling the denials and appeals processes.
 

    

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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.
 
 

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