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News
Study finds link between ED crowding and length of stay
Source: Revenue Cycle Advisor
Facilities that have a decreased length of stay also tend to have successful interventions for reducing emergency department crowding, according to an Annals of Emergency Medicine study.
CMS to raise ankle replacement bundle reimbursement
Source: HealthLeaders Media
A CMS update in early September promises to increase the reimbursement bundle for primary total ankle replacement procedures, which a specialist says will yield far better reimbursement and margins for facilities where such procedures are performed.
 

Revenue Cycle Advisor Subscriber Content

MAC tightens supervision policy for apheresis, diverging from CMS’ stance
Source: Revenue Cycle Advisor
Providers in some states may soon discover a big hurdle to clear when seeking to report a set of apheresis services after one MAC tightened up physician supervision requirements.
 

Daily Q&A
Q&A: Appropriately reporting pulmonary edema, CHF, and sepsis
Source: ACDIS

Q: The physician documents acute pulmonary edema secondary to debility, congestive heart failure, and sepsis. The Excludes1 note in the Tabular Index precludes coding the pulmonary edema (J81.0) with heart failure (I50.1). According to the exception, however, since pulmonary edema is being documented as both cardiogenic and non-cardiogenic, is it correct to code J81.0 in addition to I50.1?

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

Medicare Billing Edits: A Guide to Regulation, Research, and Resolution

Resolving edits can be overwhelming, causing staff to work the same edits repeatedly, unless time and resources are spent to identify and fix the root cause of the problem. This book will help readers understand Medicare claims edits and give them practical tools and information to efficiently handle these edits.
 

    

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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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