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News

CMS documentation guidelines crucial for success under inaugural year of MIPS
Source: ACDIS

Take a close look at the documentation guidelines that CMS suggests for the practice improvement portion of the Merit-Based Incentive Payment System and you may ward off future audits and avoid forfeiting revenue, according to the Physician Practice Insider.
Quality Payment Program proposed rule introduces virtual group policy
Source: Revenue Cycle Advisor
The release of the Quality Payment Program proposed rule introduced virtual groups as a way to reduce burden on small practices and clinicians. While the MACRA legislation laid out the initial concept of virtual groups, this proposed rule revealed many more details about how virtual groups will function. 
 

Revenue Cycle Advisor Subscriber Content

Security Q&A: Accounting of disclosures, marketing, and terminating BAAs
Source: Revenue Cycle Advisor
This month's security Q&A answers readers' questions about accounting of disclosures, providing information to marketing departments, unencrypted emails, and terminating BAAs.
 

Daily Q&A

Q&A: Billing multiple units of injections and infusions
Source: Revenue Cycle Advisor
We have trouble billing multiple units of injections and infusions—mostly CPT add-on codes 96375 (injection, each additional sequential intravenous push of a new substance/drug) and 96376 (injection, each additional sequential intravenous push of the same substance/drug provided in a facility)—that are done during observation stays and exceed the medically unlikely edits number. What is the correct way to bill these and get paid?

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 6/28 - CLIA Certificate of Provider-performed Microscopy Webcast
Thursday 6/29 - Improvements to the Medicare Claims Appeal Process and Statistical Sampling Call
Wednesday 7/5 - Quality Payment Program Year 2 Proposed Rule Listening Session
Wednesday 7/12 - Creating and Verifying Your National Provider Identifier Call
 

Product Spotlight

HCCs: Physician Practice Coding and Documentation Strategies for Success

During this 90-minute webinar, Shea Lunt, RHIA, CPC, CPMA, PMP, will guide attendees through the world of HCCs as she explores the basics of risk adjustment and HCC coding, how diseases and ICD-10-CM codes factor into the equation, and how to support HCC coding with documentation.
 

    

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Featured Resource

Revenue Cycle Advisor Helpful Links

Compiled by HCPro regulatory specialists, this is a collection of links for healthcare professionals researching coding, billing, compliance, and Medicare.
 
 

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