Trouble viewing? See it online! Wednesday, September 16, 2020
 

News
This week in Medicare updates—9/16/2020
Source: Revenue Cycle Advisor
This week’s Medicare updates include information on the reorganization of the Medicare Program Integrity Manual, updates to three provider-specific fact sheets on COVID waivers, the October 2020 update for the Ambulatory Surgical Center PPS, and more!
CMS revises billing instructions for inpatient COVID-19 claims
Source: Revenue Cycle Advisor
CMS provided clarification on submitting inpatient claims for patients diagnosed with novel coronavirus (COVID-19) without a positive viral test, in an update to MLN Matters SE20015 released September 11.
 

Revenue Cycle Advisor Subscriber Content

2021 IPPS final rule sets the course for market-based MS-DRG methodology
Source: Revenue Cycle Advisor
CMS laid the groundwork for a dramatic revision of MS-DRG rate setting in the 2021 Inpatient Prospective Payment System (IPPS). The agency also rolled out code changes and MS-DRG updates. Ensure your organization is compliance with new requirements.
 

Daily Q&A
Q&A: Preparing for potential elimination of inpatient-only list
Source: Revenue Cycle Advisor
Q: In the 2021 OPPS proposed rule, CMS suggested that there is no longer a need for the inpatient-only list. What could this mean for case managers going forward?

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Upcoming CMS Events
Thursday, 9/17 - Hospital/Quality Initiative Open Door Forum
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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