Trouble viewing? See it online! Wednesday, May 31, 2017

News
Master renal definitions in MACRA, MIPS, and bundled payments
Source: Revenue Cycle Advisor
Kidney disease is a challenging component to inpatient and outpatient care, incurring significant costs and negative outcomes. CMS and other agencies that measure our quality and cost efficiency use ICD-10-CM codes based on provider documentation and billing to ascertain that a patient has a designated kidney anatomic or functional illness in their risk-adjustment methodologies.
This week in Medicare updates–5/31/2017
Source: Revenue Cycle Advisor
This week’s Medicare updates include National Coverage Analysis for Supervised Exercise Therapy for Symptomatic Peripheral Artery Disease; ICD-10 coding revisions to National Coverage Determinations; the July 2017 OPPS quarterly update; and more!
MACRA: Easing physician-practice pain points
Source: HealthLeaders Media
In the high-stakes transition to Medicare's new value-based payment system, physician organizations face looming deadline to attain full compliance with MACRA's data reporting requirements, which will drive payment bonuses and penalties for clinicians.
 

Daily Q&A
Q&A: Rejections for claims for removing impacted cerumen
Source: Revenue Cycle Advisor
Q: We have started receiving rejections for ED claims when the services involves removing impacted cerumen. We are reporting CPT® code 69209 (removal impacted cerumen using irrigation/lavage, unilateral) for each ear, and the documentation supports the irrigation/lavage rather than the physician removing the impaction with instruments. Our claims just started getting rejected in April.   

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 6/7 - CMS HCPCS Public Meetings for DME and Accessories; O&P; Supplies and Other
Thursday 6/8 - CMS HCPCS Public Meetings for DME and Accessories; O&P; Supplies and Other
Thursday 6/15 - National Partnership to Improve Dementia Care and QAPI Call
Wednesday 6/28 - CLIA Certificate of Provider-performed Microscopy Webcast
 

Product Spotlight

Essential Medicare Cost Reporting Strategies

Join expert speakers Valerie A. Rinkle, MPA, and Paul Holden, FHFMA, as they review the 19 IPPS national cost-to-charge ratios for 2017 and walk through cost center mappings between IPPS and OPPS. Gain a deeper understanding of expense and revenue principles, and learn how revenue integrity and finance departments can work collaboratively.
 

    

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Free Resources

Advancing CDI Programs to the Next Level

How do you expand a CDI program to meet ever-increasing demands? This free presentation will help you answer these questions and more.
 
 

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