Trouble viewing? See it online! Tuesday, September 15, 2020
 

News
Inova Health System reports breach affecting more than 1 million individuals
Source: Revenue Cycle Advisor
Inova Health System, a nonprofit healthcare provider based out of Merrifield, Virginia, reported a breach on September 9 affecting 1,045,270 individuals, according to the Office for Civil Rights (OCR) breach portal.
Medicare Shared Savings ACOs saved $2.6 billion in 2019
Source: HealthLeaders Media
The savings represents a $940 million increase over the $1.7 billion saved in 2018.
 

Revenue Cycle Advisor Subscriber Content

CMS considers eliminating inpatient-only list, expanding prior authorization
Source: Revenue Cycle Advisor
CMS continues to focus on site-neutral payment policies and keeping payments down for 340B-acquired drugs in the 2021 OPPS proposed rule, released in early August.
 

Daily Q&A
Q&A: Clinical indicator contradictions
Source: ACDIS
Q: Can you clarify seemingly contradictory guidance? One says to query when a provider diagnosis does not seem supported by clinical indicators. The other states that a provider's documentation that a particular condition is present is sufficient and code assignment is not based on clinical criteria to establish a diagnosis.

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Upcoming CMS Events
Thursday, 9/17 - Hospital/Quality Initiative Open Door Forum
Tuesday, 9/22 - Dementia Care Call
 

Product Spotlight

COVID-19 and End-of-Life Care: New Ethical Dilemmas and Challenges

Case managing end-of-life care has never been more complex. Ethical, legal, and financial factors are industry priorities, with case managers juggling these moving parts daily. During this 90-minute webinar, Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, will provide a detailed look at end-of-life care as it pertains to COVID-19.
 

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Coronavirus and Pandemic Response

Find the latest resources on preparing your facilities to respond to the ongoing COVID-19 outbreak.
 
 

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