Friday, July 14, 2017

News

2018 OPPS proposed rule: 340B drug program changes would impact all hospitals
Source: Revenue Cycle Advisor
The 2018 OPPS proposed rule is one of the shortest, and latest, in recent memory being released July 13 at only 663 pages, but it contains major proposed policy changes for the 340B drug discount program, new modifiers, and expands packaging to drug administration for the first time. 
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Tip of the week

“Remember, all of us respond so much better to positive feedback—so it is often best to report audit and monitoring results and other key performance data in terms of percent or numbers correct as opposed to error rates, and don’t forget to complement those that do something well because they are more likely to listen when you need to ask them to change something else,” says Valerie Rinkle, MPA.

 

Revenue Cycle Advisor Subscriber Content

Proposed 2018 IPPS rule may ease documentation burden on critical access hospitals
Source: Revenue Cycle Advisor
CMS auditors may start to look the other way when it comes to enforcing the 96-hour certification requirement this fall. That’s according to the 2018 proposed IPPS rule, which could be beneficial for critical access hospitals.
 

Daily Q&A

Q&A: Formatting an electronic query
Source: Revenue Cycle Advisor

Q. We use an electronic system at our hospital and find it is difficult to query a physician since we all have our own processes. Would you recommend having a set format for a query that is used electronically?

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 7/25 - Network & Events Revised Interpretive Guidance for Nursing Homes and New Survey Process Call
Wednesday 7/26 - ESRD QIP: Proposed Rule for Payment Year 2021 Listening Session
Monday 7/31 - Public Meeting Regarding New and Reconsidered Clinical Diagnostic Laboratory Test Codes
Tuesday 8/1 - Public Meeting for the Medicare Advisory Panel on Clinical Diagnostic Laboratory Tests
 

Product Spotlight

Provider-Based Entities: A Guide to Regulatory and Billing Compliance

This book is a comprehensive guide to provider-based departments, including qualifying under CMS, unique billing and coding rules, and the business decisions behind owning or acquiring a provider-based clinic. It explains the effect an entity’s location and services have on its ability to operate and attest as provider-based and covers threshold requirements for this unique provider type.

 

    

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What's New

The Physician Executive’s Role in Value-Based Transformation

An expert panel discusses essential strategies, tools, and tactics for physician executives tasked with navigating value-based payment models.

 
 

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