BC Advantage - 2016 Issue 11

Revenue Cycle 101: Expiration of Medicare Flexibilities

What is it and why should you care?  The new "Expiration of Medicare Flexibilities" rule that takes place on October 1, 2016 is defined as more accurate means of representing a patient's clinical status that translates into coded data. That coded data is then translated into quality reporting; a sort of "physician report card" if you will which directly impacts reimbursement, public health data, and disease tracking. Effective October 1, 2016,  Medicare will no longer be tolerant and patient while providers navigate the treacherous seas of laterality and specificity necessary when ICD-10 took effect on October 1...

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