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News
2018 IPPS final rule: Transient ischemic attack MS-DRG changes
Source: ACDIS

The fiscal year 2018 IPPS final rule includes updates to payment rates and quality initiatives, but some of the most extensive changes pertain to MS-DRG classifications and relative weights.
OIG says CMS improperly paid an estimated $4.6 million for immunosuppressive drugs
Source: Revenue Cycle Advisor
The Office of Inspector General (OIG) found CMS improperly awarded an estimated $4.6 million in reimbursement for immunosuppressive drugs billed with modifier -KX (requirements specified in the medical policy have been met). The OIG also said CMS should revise guidance on modifier -KX because current guidance is confusing and contradictory. 
 

Revenue Cycle Advisor Subscriber Content

Staying HIPAA compliant when an employee is terminated
Source: Revenue Cycle Advisor
The departure of an employee can open the door for HIPAA privacy and security breaches but sound HIPAA compliance policies and procedures can be built into an organization’s exit process.
 

Daily Q&A
Q&A: Medical necessity denials
Source: Revenue Cycle Advisor
Q: What are some common reasons for medical necessity denials and ways we can ensure medical necessity compliance?

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
Tuesday 9/19 - Qualified Medicare Beneficiary Program Billing Rules Call
Wednesday 9/20 - Reporting Hospice Quality Data: Tips For Compliance Call
Monday 9/25 - Advisory Panel on Clinical Diagnostic Laboratory Tests Meeting
Tuesday 9/26 - PQRS: Feedback Reports and Informal Review Process for PY 2016 Results Call
 

Product Spotlight

Injections and Infusions Live!: Practical Training Through JustCoding's Virtual Workshop

Drug administration is one of the most commonly performed hospital procedures, but many coders, billers, and clinicians still have unresolved questions about following the hierarchy, reporting difficult scenarios, or including the appropriate details in documentation. Train your entire team on proper injection and infusion coding in this interactive, three-hour program with expert Jugna Shah, MPH.
 

    

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What's New

Burden of Inpatient Safety and Adverse Outcomes

This study presents the incremental consequences of selected inpatient medical injuries identified by the AHRQ PSIs and quantifies the estimated national impact.
 
 

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