CMS proposes to extrapolate results from Medicare Advantage audits and apply an overall error rate for all plans, raising the ire of insurers and physicians.
Trouble viewing? See it online! Monday, September 30, 2019
 

News
CMS could use extrapolation to determine Medicare Advantage paybacks
Source: ACDIS
CMS proposes to extrapolate results from Medicare Advantage (MA) audits and apply an overall error rate for all plans, raising the ire of insurers and physicians.
October HCPCS update brings 44 new drug codes
Source: Revenue Cycle Advisor
CMS added 44 new HCPCS drug and biological codes as part of its October quarterly update, with each code effective October 1.
 

Revenue Cycle Advisor Subscriber Content

Product Watch: TeachPrivacy
Source: Revenue Cycle Advisor
Employees need to know what to do and what not to do when it comes to ensuring protected health information (PHI) remains secure. That’s where TeachPrivacy comes in as an excellent resource for quality staff training.
 

Daily Q&A
Q&A: Addressing payer diversions in contract language
Source: Revenue Cycle Advisor
Q: A payer has begun denying authorization for admissions and diverting patients from our hospital to one of our competitors, even when our hospital is closer. Is this a common practice among payers? What language should we add to the contract to discourage it?

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Upcoming CMS Events
Tuesday, 10/1 - IRF Reporting Health Care Personnel Influenza Vaccination Data Webinar
Thursday, 10/3 - LTCH Reporting Health Care Personnel Influenza Vaccination Data Webinar
 

Product Spotlight

Outpatient Documentation and Coding for Behavioral Health

Join Shelley C. Safian, PhD, RHIA, HCISPP, CCS-P, for this 90-minute webinar as she discusses outpatient coding challenges for behavioral health. She will review CPT coding for office visits, psychiatric diagnostic procedures, psychotherapy, and interactive complexity. She will also review Medicare billing requirements coding and billing professionals must consider when these services are performed using telehealth technology.
 

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CDI Industry Survey

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