CMS hopes to pilot a new, hybrid, hospital-wide readmissions measure that would estimate unplanned readmissions by leveraging Medicare claims data and clinical data from within the electronic medical record, according to the fiscal year 2018 IPPS final rule.
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News
CMS plans readmissions experiment but expects low participation
Source: ACDIS

CMS hopes to pilot a new, hybrid, hospital-wide readmissions measure that would estimate unplanned readmissions by leveraging Medicare claims data and clinical data from within the electronic medical record, according to the fiscal year 2018 IPPS final rule.
2018 IPPS final rule updates ICD-10-PCS non-OR to OR designations
Source: Revenue Cycle Advisor
The fiscal year (FY) 2018 IPPS final rule included updates to payment rates and quality initiatives, as well as an ample amount of code changes and updates to ICD-10-PCS non-operating room (OR) to OR code designations.
 

Revenue Cycle Advisor Subscriber Content

HIPAA Q&A: Incidental disclosures, NPPs, home health visits
Source: Revenue Cycle Advisor
This month's HIPAA Q&A answers readers' questions about incidental disclosures, providing the Notice of Privacy Practices, and more.
 

Daily Q&A
Q&A: Payer contracting processes
Source: Revenue Cycle Advisor
Q: How can we help ensure all hospital departments involved in payer contracting are on the same page and understand the terms?

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Upcoming CMS Events
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
Thursday 9/28 -  Physician Compare Call
Thursday 9/28 -  Special Open Door Forum (SODF): The IMPACT Act and Improving Care Coordination
 

Product Spotlight

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

Drug administration is one of the most commonly performed procedures in outpatient departments, 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 JustCoding’s virtual workshop!
 

    

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What's New

2017 CDI Week Industry Overview Survey

Read about changes in CDI since the advent of quality initiatives, expansion into other settings, and the evolution of clinical validation reviews.
 
 

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