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  • Two-Midnight Rule: Initial Reviews to Resume

    Having taken time out for retraining and internal audits, contractors may resume initial-phase reviews of Medicare reimbursement claims for short-stay inpatient hospital care, CMS says.

  • Q&A: Submitting claims for observation services

    Q: Did something change with the observation services Composite APC in 2016? The director of patient financial services says we no longer receive payment for it.

  • Don't underestimate the importance of good documentation

    It’s an unfortunate part of healthcare today—the lawsuit. Are you ready if one is filed against your organization?

  • Q&A: Should we hardcode modifier -CT?

    Q: Our radiology department is requesting that we add a new modifier to their charge description master (CDM), modifier –CT (computed tomography [CT] services furnished using equipment that does not meet each of the attributes of the National Electrical Manufacturers Association [NEMA] XR-29-2013 standard). They want this added to the CT scan line items, but they are not sure if it is for all of the items or only certain ones. Can you provide more information that might help us know how to proceed?

  • Bridge the communication gap with physicians with these tips

    Do you sometimes feel like you and the physicians at your hospital aren’t communicating as well as you could be? 


  • Q&A: Setting a price for corneal tissue

    Q: I have a follow-up question to an answer you gave early last year. The question was about reimbursement for the cost of corneal tissue. You stated “This line item should reflect the costs associated with the corneal tissue.” We have just started providing this service and are having a debate on what this statement means. I think we can apply our usual markup, but our cost accounting person thinks this means we can only pass along our invoice cost. What does it mean in regard to setting our price?

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Revenue Integrity Symposium

  • The 2016 Revenue Integrity Symposium brings together training on Medicare billing and compliance, case management, revenue integrity, coding, CDI, and patient status, helping attendees ensure compliance and accurate billing and reimbursement across the revenue cycle. Covering all areas of revenue cycle professionals’ expanding roles, the 2016 conference has something for everyone.

    Our expert speakers will cover critical, timely topics such as the 2-midnight rule, IPPS and OPPS updates, chargemaster maintenance, denials management, payer audits, ICD-10 code updates for 2017, clinical documentation, value-based purchasing, utilization review, and more!

    Learn more