Tuesday, July 18, 2017

News

Social work strategies to help trauma patients
Source: Revenue Cycle Advisor
Acute care social workers connecting with providers and establishing relationships can go a long way in helping patients with life-changing injuries, according to CMSA Today.
Achieving zero hospital-acquired infections
Source: HealthLeaders Media
Convincing clinicians that getting to zero infections is possible, says one CQO. It requires a culture change, adherence to evidence-based practice, and leadership.
 

Revenue Cycle Advisor Subscriber Content

Comply with medical necessity in outpatient hospital and physician clinic settings
Source: Revenue Cycle Advisor
As CMS and third-party payers have looked for ways to treat patients in the outpatient setting and reduce inpatient volumes, CMS has used the 2-midnight rule, in addition to other methods, to treat patients as outpatients or in observation whenever possible.
 

Daily Q&A

Q&A: Coding pneumonia with dyspnea
Source: ACDIS

Q: If the principal diagnosis is pneumonia, do I need to also code the symptom dyspnea? Or is the dyspnea integral to the pneumonia?

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 7/19 - CMS Rural Health Open Door Forum
Wednesday 7/19 - Hospital/Quality Initiative Open Door Forum
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
 

Product Spotlight

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

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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