News

Article
CMS
COVID-19
Physician Advisory

Dr. Ronald HirschSeptember 24, 2020

RACMonitor: New Medical Record Compliance Challenges – Payment for COVID-19 and Patient Appeals to the QIO

The Centers for Medicare & Medicaid Services (CMS) is targeting the hospital medical record for added scrutiny.

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Article
CMS
COVID-19
Physician Advisory

Ayla EllisonSeptember 2, 2020

Becker's Hospital Review: CMS to Require Positive COVID-19 Test for Medicare Pay Boost

CMS recently released guidance that includes a new requirement for hospitals to get a Medicare payment boost for caring for patients diagnosed with COVID-19. 

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Article
COVID-19
Physician Services
Telehealth

Vijay KotteSeptember 1, 2020

HIT Consultant: Maximizing Telehealth Success by Optimizing Operations & Revenue Cycle Management

In COVID-19’s wake, providers’ financial recovery will be crucial yet daunting. U.S. hospitals and health systems stand to collectively 

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Article
CMS
Physician Advisory

Dr. Ronald HirschAugust 20, 2020

RACMonitor: The Demise of the Medicare Inpatient-Only List – The Myths and Facts

Medicare’s often-misunderstood inpatient-only list may soon be departing, as the Centers for Medicare & Medicaid Services (CMS) has proposed to eliminate it over the next three years, as outlined in the 2021 Outpatient ...

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Article
CMS
Physician Advisory

Dr. Ronald HirschAugust 11, 2020

Clinical Practice Today: What Should Physicians Know About the New CMS Rule on Discharge Planning?

In September 2019, the Centers for Medicare & Medicaid Services (CMS) released a new rule on discharge planning, which stems from the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014. Much less prescriptive than the requirements originally proposed, the final rule increases access to ...

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Article
CMS
Physician Advisory

Dr. Ronald HirschAugust 6, 2020

RACMonitor: CMS Opens Door to G0463 Billing for Remote Physician Visits

The confusion over what code to use when hospital-employed physicians perform virtual visits with patients has reared its head again in 

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Article
COVID-19
RCM Trends
Revenue Cycle

Ken TownsendAugust 5, 2020

HFMA: 8 Security Tips for Remote Revenue Cycle Staff

Poorly secured home networks. Highly accessible workstations. Use of personal laptops that don’t adhere to security standards. Each of these (and more) is a vulnerability for revenue cycle staff working at home during COVID-19. Unfortunately, with vulnerability comes opportunity for hackers to target this newly ...

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Article
COVID-19
Patient Experience
Physician Services

Richard Lopez del RinconAugust 3, 2020

Medical Economics: Strategies for responding to the effects of COVID-19

With the spread of the COVID-19 virus continuing to be a top concern, patients are avoiding doctors’ offices. As a result, practices are experiencing significant financial hardships—one recent Medical Group Management Association ...

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Article
CMS
Physician Advisory

Dr. Ronald HirschJuly 24, 2020

RACMonitor: Total Joint Replacement Under Scrutiny Again

Hospitals are urged to devote the resources to ensure that medical necessity is met, and the proper status is ordered. The attention given to total joint replacement has been a recurring headache for both physicians and hospitals over the last several years, and it appears that there is little chance of ...

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Article
COVID-19
Physician Services
Revenue Cycle

Richard Lopez del RinconJuly 17, 2020

Physicians Practice: Succeed with an EHR-agnostic Revenue Cycle Platform Post-COVID-19

While COVID-19 has presented challenges to every healthcare industry sector, physician practices have taken some of the most significant financial hits over the past few months. A recent Medical Group Management Association (MGMA) survey found that 97 percent of practices have experienced a negative financial ...

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