Research presented at the American Thoracic Society’s 2020 virtual event suggests that hospitalizations due to e-cigarette and vaping associated lung injury likely began to occur long before the widely reported 2019 outbreak.
Friday, September 11, 2020
 

News

EVALI hospitalizations occurred before the 2019 outbreak, research suggests
Source: ACDIS
Research presented at the American Thoracic Society’s 2020 virtual event suggests that hospitalizations due to e-cigarette and vaping associated lung injury (EVALI) likely began to occur long before the widely reported 2019 outbreak.
Note from the speaker: Building an appealability scoring tool
Source: NAHRI
Healthcare provider systems have unique sets of payers, payer contracts, payer experiences, and challenges in medical record documentation and billing processes that together can lead to denials. With this in mind, an appealability scoring tool should be unique to each provider.
 

Revenue Cycle Advisor Subscriber Content

2021 OPPS proposed rule floats eliminating inpatient-only list
Source: Revenue Cycle Advisor
Is the inpatient-only list soon to be a thing of the past? It’s possible. In the 2021 OPPS proposed rule, released August 3, CMS suggested that there is no longer a need for the inpatient-only list. Instead, CMS recommended deferring to the physician’s clinical judgment.
 

Daily Q&A

Q&A: Using modifier -59 to bypass a procedure-to-procedure edit
Source: Revenue Cycle Advisor
Q: Can modifier -59 (distinct procedural service) be used to bypass the NCCI edit that bundles CPT codes 11055 for lesion removal and 11721 for nail debridement?

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Sponsored Content

5 benefits of pre-bill technology for outpatient revenue integrity

With growing outpatient encounters, organizations are forced to reckon with the unique challenges of ensuring accurate, compliant revenue capture. With hard and soft coded data, risk adjustment factors and HCCs, and the need to manage elements before the patient arrives, outpatient coding is simply a beast that’s impossible to tame without the help of dedicated technology.

 

Upcoming CMS Events

Tuesday, 9/22 - Dementia Care Call
 

Product Spotlight

CHRI Exam Study Guide

The CHRI Exam Study Guide is the one resource that revenue integrity professionals can rely on to prepare for and pass the CHRI Exam. The study guide includes access to the CHRI Practice Exam and accommodates techniques learners may wish to use in their exam prep: taking notes, highlighting sections, creating flash cards, or a combination of strategies.

 

    

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