Three recent studies look at the impacts of the social determinants of health and how they are mitigated in various programs across the country.
Trouble viewing? See it online! Tuesday, October 9, 2018
 

News
New research addresses the social determinants of health
Source: Revenue Cycle Advisor
Three recent studies look at the impacts of the social determinants of health and how they are mitigated in various programs across the country that provide healthcare services in places like economically disadvantaged communities and affordbale senior housing.
Navigating the medical necessity battleground when payers balk
Source: HealthLeaders Media
When claim denials result from factors like ineligible members and untimely filing, there's often little to argue. Medical necessity, though, is more of a gray area.
 

Revenue Cycle Advisor Subscriber Content

Recognize -X{EPSU} modifier rules despite CMS maintaining optional reporting
Source: Revenue Cycle Advisor
It's been more than three years since CMS introduced a subset of modifiers it wants providers to report instead of modifier -59 (distinct procedural service), but they're still optional as barely any new guidance has been released.
 

Daily Q&A
Q&A: CDI and EHR adoption
Source: ACDIS

Q: How do you see the rapid adoption of EHRs changing the way CDI professionals conduct their jobs?

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
Monday, 10/15 - Submitting Your Medicare Part A Cost Report Electronically Webcast
Wednesday, 10/17 - Patient Relationship Categories and Codes Webcast
Tuesday, 10/30 - Physician Compare: Preview Period and Public Reporting Webcast
 

Product Spotlight

2018 Revenue Integrity Symposium

The 2018 Revenue Integrity Symposium brings together training on Medicare billing and compliance, patient status, revenue integrity, case management, coding, and CDI, helping attendees ensure compliance and accurate billing and reimbursement across the revenue cycle. Expert speakers will cover critical topics essential to revenue integrity, chargemaster maintenance, patient status, denials management, appeals, and payer audits.
 

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What's New

2018 CDI Week Webinar: The State of the CDI Industry

ACDIS, along with 3M, unpacks the results of the 2018 CDI survey with a panel of experts.
 
 

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