Trouble viewing? See it online! Wednesday, October 5, 2016

News
Phishing for PHI
Source: Briefings on HIPAA
Cyber threats continue to grow and evolve, but most share a similar origin: phishing. Phishing emails, seemingly innocuous or legitimate emails used to infiltrate an organization, are a common source of malware and are used for scams in which a criminal impersonates another individual to obtain sensitive information.
Medicare Updates: This Week's Regulatory Changes
Source: Medicare Compliance Watch
This week’s Medicare updates include a transmittal recurring update notification describing changes to and billing instructions for various payment policies implemented in the October 2016 OPPS update; news about CMS once again allowing some providers to settle inpatient status claims in appeals; an OIG report regarding the improper payment of millions of dollars for unlawfully present beneficiaries; and more!
Tenet to Pay $513M for Kickback Scheme
Source: HealthLeaders Media
A federal prosecutor blasts Tenet for "taking advantage of vulnerable pregnant women in clear violation of the law." A kickback and bribe scheme allegedly helped the hospital chain obtain more than $145 million in Medicaid and Medicare funds based on illegal patient referrals.
 

Daily Q&A
Q&A: Have Guidelines Changed for Hypertension Coding?
Source: Medicare Compliance Watch
Q: Is it true that if the patient has hypertension and heart disease such as coronary artery disease that the coder may code the hypertension from the I11 (hypertensive heart disease) series of codes?  

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
Wednesday, 10/5 - Emergency Preparedness Requirements Call
Thursday, 10/13 - IMPACT Act: Data Elements and Measure Development Call
 

Product Spotlight

Clarify Coding and Billing Rules for 2017 Pregnancy Diagnoses Live Webinar

The first update to ICD-10-CM contains thousands of changes affecting nearly every chapter, including those for pregnancy conditions. Join expert speaker Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, CDIP, as she reviews the updates and the documentation providers will need to include for coders to report these diagnoses.
 

    

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Free Resources

Comprehensive Care for Joint Replacement (CJR) Model Webinar

This new webinar provides an overview of the CJR model, illustrating how clinical documentation and coding affect performance measures and reimbursement.