The Office of Inspector General recently reviewed $51.6 million in Medicare Part B payments to acute care hospitals only to find that Medicare did not appropriately pay the hospitals for any of the reviewed outpatient services.

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News

Medicare inappropriately paid for outpatient services for inpatients
Source: Revenue Cycle Advisor
The Office of Inspector General recently reviewed $51.6 million in Medicare Part B payments to acute care hospitals only to find that Medicare did not appropriately pay the hospitals for any of the reviewed outpatient services. In addition, beneficiaries were charged with $14.4 million in unnecessary deductibles and coinsurances for the hospital outpatient services.
Five things providers need to know about the new Medicare cards
Source: HealthLeaders Media
Providers must fully transition to using beneficiaries’ new numbers by January 1, 2020, but there are several steps to take in the meantime.
 

Revenue Cycle Advisor Subscriber Content

This month's coding Q&A
Source: Revenue Cycle Advisor
Our experts answer questions about copy and paste habits for providers, provider-based department designations, and more. 
 

Daily Q&A

Q&A: Coding a history of ESRD
Source: ACDIS

Q: In a case where the patient has a history of end-stage renal disease (ESRD) documented, why would ESRD be coded as a secondary diagnosis?

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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 9/26 - PQRS: Feedback Reports and Informal Review Process for PY 2016 Results Call
Thursday 9/28 -  Physician Compare Call
Thursday 9/28 -  Special Open Door Forum (SODF): The IMPACT Act and Improving Care Coordination
Tuesday 10/10 - Home Health Agencies: Quality of Patient Care Star Rating Algorithm Call
 

Product Spotlight

The National Association of Healthcare Revenue Integrity (NAHRI)

NAHRI’s mission is to enhance the revenue integrity profession through standards, advocacy, networking, and the promotion of shared knowledge and resources. By becoming a charter member, you gain access to a vast body of revenue cycle knowledge, high-quality training programs, the latest tools and tactics, exposure to leading-edge thinking, and opportunities to interact with your peers.
 

    

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What's New

2017 CDI Week Industry Overview Survey

Read about changes in CDI since the advent of quality initiatives, expansion into other settings, and the evolution of clinical validation reviews.
 
 

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