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Cover Story

What Hospitals Need to Know About ZPIC Audits

By Gary Keilty and Kristen McDonald

Although all CMS payment audits should be taken seriously, a Zone Program Integrity Contractors audit poses the potential threat of a federal fraud investigation. Learn about ZPIC audit triggers and paths, action steps to take in the event of a ZPIC audit, and strategies for challenging ZPIC findings.

Physician Revenue Cycle

Reconciling Patient Payments Across a Multi-Site Physician Practice

By Dawne Clark and Margaret Dowling

Find out how a large physician practice built an automated process for daily and monthly reconciliation of cash, credit card, and check deposits, making daily cash reconciliation part of the network’s culture and virtually eliminating deposit discrepancies across the network.

Web Extra: View a sample monthly posting report, practice deposit report, standard code table for reporting variances, and outstanding variance report used by Jefferson University Physicians.

ICD-10

ICD-10 Training for the Rest of Us

By Kim Felix

It’s clear that inpatient coders need the ICD-10 “soup to nuts” training; here is some guidance on the training needed by other hospital and health system groups and departments.

Coding Q & A

Coding for Complex Chronic Care Coordination Services

By Jennifer Swindle

Although complex chronic care coordination services are not yet separately reimbursable by Medicare, capturing these codes and tracking payment will help promote broader reimbursement.

Figures at a Glance

Satisfaction with Physician Revenue Cycle Functions

Finance leaders report a higher level of satisfaction with several physician group processes that report into the hospital, compared with those that report to the physician practice.

Publication Date: Friday, October 11, 2013