Integrated Revenue Management, Inc.

Net Revenue Matters FREE Newsletter

Net Revenue Matters is a monthly publication that provides updates on relevant revenue management topics, project plans for process improvement initiatives, and news about IRM's best practice community of RMD clients. Please sign up to receive our newsletter, as well as to receive notifications regarding IRM educational opportunities.



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August 2010 Newsletter

In the August 2010 edition of "Net Revenue Matters," you'll find articles titled, "Lessons Learned but (Hopefully) Not Forgotten," "ICD-10...It's Coming!" and "Ideas for Reducing Bill Edits Related to Modifiers 91, 59, and 25." Also, our Partner Updates and Client Corner note news and calendar items that you won't want to miss. Please click here to read more.



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July 2010 Newsletter

In the July 2010 edition of "Net Revenue Matters," you'll find articles titled, "Signature Guidelines for Medical Review Purposes," "Does this Procedure Require Pre-Certification?" "Paracentesis and Abdominal Drains: Confused on the Coding?" "Is Your Pain Management Coding in Pain?" "AHIMA on CDI and Physician Queries," "RMetrics Trend Tracker," "Know Your Managed Care Contract Language," and "What's In a Reason?" Also, our Client Corner notes news and calendar items that you won't want to miss. Please click here to read more.



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June 2010 Newsletter

In the June 2010 edition of "Net Revenue Matters," you'll find articles titled, "What's in a Name? Maybe More Than We Think," "Be Prepared for Defense Audits," "Medicare Timely Filing Changes," "Coding Tips for Venous Access Devices," "Quality Reviews: They are Coming to Your Department!" "Why are Physician Orders Important?" and "Hospital BPM Gains Interest and Momentum." Also, our Client Corner notes news and calendar items that you won't want to miss. Please click here to read more.



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May 2010 Newsletter

In the May 2010 edition of "Net Revenue Matters," you'll find articles titled, "Greetings!," "CMS Has Released the FY 2011 IPPS Proposed Rule," "Documentation," "RM Trend Tracker Tip -- PDCA Types," "Proper Use of Modifiers in the ASC Hospital Outpatient Setting," and "What is Process Mapping?" Also, our Client Corner notes news and calendar items that you won't want to miss. Please click here to read more.



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April 2010 Newsletter

In the April 2010 edition of "Net Revenue Matters," you'll find articles titled, "Risks and Opportunities," "Billing for Services Related to ABN Modifiers," "Easing the Pain of Pain Coding," "Yellow Padding," "Revenue Management Professional's Day Fun," and "Best Practice Forum 2010 -- Have you registered?" Also, our Client Corner notes news and calendar items that you won't want to miss. Please click here to read more.



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March 2010 Newsletter

In the March 2010 edition of "Net Revenue Matters," you'll find articles titled, "Renewing Values from Past Years," "Medications: The Ugly Truth," "Emergency Room Points and Procedures," "Hospital Business Performance Management," "Capturing Lost Revenue in Radiopharmaceuticals," and "Why Process Improvement is so Challenging." Also, we have exciting Partner Updates and our Client Corner notes news and calendar items that you won't want to miss, especially the registration information regarding our 2010 Best Practice Forum. Please click here to read more.



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February 2010 Newsletter

In the February 2010 edition of "Net Revenue Matters," you'll find articles titled, "Incrementalism: The Art of Continuous Quality Improvement" and "2010 Facet Joint Injection Codes." Also, we have many exciting Partner Updates and our Client Corner notes news and calendar items that you won't want to miss, especially the registration information regarding our 2010 Best Practice Forum. Please click here to read more.



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January 2010 Newsletter

In the January 2010 edition of "Net Revenue Matters," you'll find articles titled, "The Fourth Audit Discipline: Contractual Allowances," "Prosthetics and Implant Markup Strategy," and "Accurate Hospital Documentation Ensures Best Course of Care, Proper Reimbursement." Also, our Client Corner notes news and calendar items that you won't want to miss, so please click here to read more.



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December 2009 Newsletter

In the December 2009 edition of "Net Revenue Matters," you'll find articles titled, "The Rumpelstiltskin Effect: Spinning Gold from Bales of Data Straws," "Facet Joint Injections," and "Managed Care - Bariatric Coding & Contract Reimbursement 2009/2010." Also, our Client Corner notes news and calendar items that you won't want to miss, so please click here to read more.



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November 2009 Newsletter

In the November 2009 edition of "Net Revenue Matters," you'll find articles titled, "The Importance of Being Non-Virtual," "How to Track and Quantify CDM Changes," "Join the American Association of Medical Audit Specialists," and "IRM Teams with Industry-Leading RAC Attorneys for Regulatory Updates and Guidance." Also, our Client Corner notes news and calendar items that you won't want to miss, so please click here to read more.



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October 2009 Newsletter

In the October 2009 edition of "Net Revenue Matters," you'll find articles titled, "Materials Management Meets the Charge Description Master," "2010 OIG Work Plan," "New CMS Guidelines for Reporting Surgical Errors," and "Follow Doctors' Orders When Billing Observation Services Under Condition Code 44." Also, our Client Corner notes news and calendar items that you won't want to miss, so please click here to read more.



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September 2009 Newsletter

In the September 2009 edition of "Net Revenue Matters," you'll find articles titled, "Patient Care Teams as the Ultimate Revenue Managers," "RAC News," "New ICD-9-CM Diagnosis Codes for FY 2010," "Health Providers and Other HIPAA-Covered Entities Must Comply With New Data Breach Notification Rules Beginning September 24," "Medicare to Reimburse for Administration of the H1N1 Flu Vaccine," and "CDMCache." Also, our Client Corner notes news and calendar items that you won't want to miss, so please click here to read more.



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August 2009 Newsletter

In the August 2009 edition of "Net Revenue Matters," you'll find articles titled, "2009: The Year of the Ox? Or is it the Year of Clinical Documentation?," "Get Ready for Flu Season!," "Overview of HOPPS Proposed Rule for Calendar Year 2010," "Announcement of FY 2010 IPPS Final Rule," "Location, Location, Location!," "Shrinking Healthcare Coverage...Everyone's Crisis," and "CDMCache." Also, our Client Corner notes news and calendar items that you won't want to miss, so please click here to read more.



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July 2009 Newsletter

In the July 2009 edition of "Net Revenue Matters," you'll find articles titled, "The COBRA Imperative," "Updated RAC Timelines," "Save the Date: IRM's Virtual Roundtable," "July 2009 Update to Hospital OPPS and Outpatient Code Editor," "RAC Complex Reviews," "CDMCache," and "New Webinar Series: The RAC Audit Pro." Also, our Client Corner lists calendar items that you won't want to miss, so please click here to read more.



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June 2009 Newsletter

In the June 2009 edition of "Net Revenue Matters," you'll find articles titled, "HFMA Peer Review Announcement," "Updated RAC Timelines," "Expected GAO Analysis of the RAC Program," "RACovery Toolkit™ Update," "CDMCache," "CMS Expands Medicare Coverage of PET Scans as a Cancer Diagnostic Tool," "TRICARE Adoption of Medicare's Reimbursement Rules," and "IRF Proposed Rule Comment Period Expires Soon." Also, our Client Corner lists calendar items that you don't want to miss, so please click here to read more.



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May 2009 Newsletter

In the May 2009 edition of "Net Revenue Matters," you'll find articles titled, "Notes from the Field," "Observation Status 101," "IPPS and LTCH PPS Updates," "CDMCache," "Are You at Risk?," "What to Expect When You're Expecting: CMS and RACs Begin Regional Outreach Programs," and "CMS Announces New Patient Discharge Status Code." Also, our Client Corner lists calendar items that you don't want to miss, so please click here to read more.



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April 2009 Newsletter

In the April 2009 edition of "Net Revenue Matters," you'll find articles titled, "Back to the Basics: Hospital 101," "April 2009 Update of the Hospital OPPS," "HACs, MACs, and RACs...AACK!," "Rock the Mock RAC Audit," and "Don't be caught without a RAC solution!" Also, our Client Corner lists calendar items that you don't want to miss, so please click here to read more.



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March 2009 Newsletter

In the March 2009 edition of "Net Revenue Matters," you'll find articles titled, "Creating a Best Practice Culture," "Sisters of Saint Francis Still Going Strong," "RAC Audit Bulletin," "A Great 2008 for the Urban North Region -- Intermountain Healthcare," "In Tough Times, Revenue Management Departments are More Important than Ever," and "Welcome to Our Lady of Lourdes." Also, our Client Corner lists calendar items that you don't want to miss, so please click here to read more.



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February 2009 Newsletter

In the February 2009 edition of "Net Revenue Matters," you'll find articles titled, "Ready to RAC'n Roll," "Best Practice Defense Audit Tips," "Outpatient Coding: Ensuring ICD-9-CM Diagnosis Code Accuracy," "Revisions to Advance Beneficiary Notice of Noncoverage Form Effective March 1, 2009," "CMS Continues with the Implementation of the RAC Program," and "Are You Ready for the CMS Recovery Audit Contractor?" Also, our Client Corner lists calendar items that you don't want to miss, so please click here to read more.



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January 2009 Newsletter

In the January 2009 edition of "Net Revenue Matters" you'll find articles titled, "Welcome to 2009!," "ICD-10 final rule is here!," "FIs Transitioned to MACs," and "The Coding Group Changes Webinar Format." Also, our Client Corner lists calendar items that you don't want to miss, so please click here to read more.



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December 2008 Newsletter

In the December 2008 edition of "Net Revenue Matters" you'll find articles titled, "Industry Innovations," "CMS Releases 2009 OPPS Final Rule," and "Defense Audits." Also, our Client Corner lists calendar items that you don't want to miss, so please click here to read more.



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November 2008 Newsletter

In the November 2008 edition of "Net Revenue Matters" you'll find articles titled, "Physician Credentialing for Today's Environment," "Pap Smear Claims Being Held," "CMS Announces Delay of RAC Program," and "Oops, They Did It Again! More Changes to Injection and Infusion CPT Codes." Also, our Client Corner lists calendar items that you don't want to miss, so please click here to read more.



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October 2008 Newsletter

In the October 2008 edition of "Net Revenue Matters," you'll find the following articles: “Your Vote Matters! by Jack Duffy” and “Be a Leader at Work: 5 Tips, by Robert Half International.” Our Client Corner lists calendar items that you don't want to miss, so please click here to read more.



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September 2008 Newsletter

In the September 2008 edition of "Net Revenue Matters," you'll find information on: “Metric Management: Is It Right for Your Hospital?,” “ICD-10 Is Coming... No, Really!,” “Best Practice: Maintaining Your CPM,” and “Billing Out-of-the-Room Observation Time.” Our Client Corner lists calendar items that you don't want to miss, so please click here to read more.



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August 2008 Newsletter

In the August 2008 edition of "Net Revenue Matters," you'll find the following articles: "Season Greetings from the Left Coast," "Extension of Payment Rule for Brachytherapy and Therapeutic Radiopharmaceuticals," and "What is Accountability?" Exciting news is featured in our Partner Updates and our Client Corner lists calendar items that you don't want to miss. Please click here to read more.



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July 2008 Newsletter

In the July 2008 edition of "Net Revenue Matters," you'll find the following articles: "Vision: The Executive Business Office," "Latest Development in U.S. Adoption of ICD-10-CM and ICD-10-PCS," and "CMS Releases 2009 OPPS Proposed Rule." Exciting news is featured in our Partner Updates and Upcoming Events lists calendar items that you don't want to miss. Please click here to read more.



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June 2008 Newsletter

In the June 2008 edition of "Net Revenue Matters," you'll find the following articles: "Nothing Is Ever Easy," "Hydration, Injections, and Infustions: Correct Reimbursement is a Team Effort," "RACovery Toolkit™," and "Where to Go for Info." Exciting news is featured in our Client Corner and Upcoming Events lists calendar items that you don't want to miss. Please click here to read more.



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May 2008 Newsletter

In the May 2008 edition of "Net Revenue Matters," you'll find the following articles: "Revenue Management...A Product Line Approach," "Recent Release of FY2009 IPPS Proposed Rule," "Are You Ready for the CMS Recovery Audit Contractor (RAC)?" and "The ABCDs of SLAMming Patients." Client Corner lists events to add to your calendar. Please click here to read more.



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April 2008 Newsletter

In the April 2008 edition of "Net Revenue Matters," you'll find the following articles: "Preparing for a RAC Audit," "Billing for Drug Wastage," and "RAC Demonstration Period Ends." Client Corner lists events to add to your calendar. Please click here to read more.



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March 2008 Newsletter

In the March 2008 edition of "Net Revenue Matters," you'll find the following articles: "Documentation Challenges -- How Fast Is Fast?," "Moratorium Bill for RACs," and "Charging for Multiple Venipunctures." Our Partner Updates includes recent client news, and Upcoming Events lists events to add to your calendar. Please click here to read more.



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February 2008 Newsletter

In the February 2008 edition of "Net Revenue Matters" you will find articles entitled: 2008 Will Be a Pivotal Year for Hospital, Physician Relations; How Secure is Your Patient Information? "HIPAA Police" to Launch Investigation; Point of Origin Codes; Payments for Brachytherapy Seeds Extended; Client Corner: Code-Based Reimbursement Project Rollout and Forum Call Calendar for 2008; 2008 Best Practice Revenue Management Forum - See You There!; and Upcoming Events! TCG Audio Conference Topic Schedule for 2008. Click here to read more!



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January 2008 Newsletter

In the January 2008 edition of "Net Revenue Matters" you will find articles entitled: National Glaucoma Awareness Month; Denial Management... How Do You Rate?; Success Stories from a Matured RMD: University Healthcare Completes $10M Year!; Best Practice Forum 2008 - Hotel Reservation Deadline Extended to January 21 - Reserve Now! Register Now!; Client Corner: Code-Based Reimbursement Project Rollout and Forum Call Calendar for 2008; Managed Care Database Reminder: Change Audit End Date; and Upcoming Events! TCG Audio Conference Topic Schedule for 2008. Click here to read more!



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ATTACHMENT: December 2006 Newsletter - Attachment: Addendum E 2007

Attachment to December 2006 Newsletter: Addendum E 2007 Inpatient Only Codes. Please contact us if you would like the Excel spreadsheet version of this attachment!



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December 2007 Newsletter

In the final edition of "Net Revenue Matters" for 2007, you will find articles entitled: Reflections from the Back of the Buss; IRM Employee of the Year: Andy Miller; Observation Charges for OPPS 2008; Changes to "Inpatient-Only" List for 2008; Upcoming Events!; Best Practice Forum 2008 - Hotel Reservation Deadline: January 7; and the Client Corner: Code-Based Reimbursement Project Rollout and Forum Call Calendar for 2008; and Memorial Medical Center Joins the Million Dollar Club! Click here to read more!



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November 2007 Newsletter

In the November 2007 edition of "Net Revenue Matters" you will find articles entitled: American Diabetes Month; E Codes on the UB-04; Best Practice Forum 2008 - Plan Now to Attend!; Of Note ... CMS Change Request 5208; Upcoming Events!; Client Corner: Code-Based Reimbursement Project Rollout and Forum Call Calendar; Intermountain Healthcare's Urban North Region Joins the Million Dollar Club; Halloween Team Building at IRM; and the final installment, Part IV, of the Revvvvvv-Up Your Revenue! Zero Tolerance for Revenue Leakage Due to Silent PPOs series. Click here to read more!



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October 2007 Newsletter

In the October 2007 edition of "Net Revenue Matters" you will find articles entitled: CMS Expands RAC Program; Proposed Changes to Observation Payments; New and Continued IRM Partnerships; October is National Breast Cancer Awareness Month - Self Check!; Upcoming Events!; Client Corner: Code-Based Reimbursement Project Rollout and Forum Call Calendar; Blue Cross Underpayments; New Monthly Procedure for Submitting Databases; and Part III of the Revvvvvv-Up Your Revenue! Zero Tolerance for Revenue Leakage Due to Silent PPOs series. Click here to read more!



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September 2007 Newsletter

In the September 2007 edition of "Net Revenue Matters" you will find articles and information on: Don't Forget - Present on Admission Indicator Required as of October 1, 2007; Preparation is Key to Successful Defense Audit; September is National Cholesterol Education Month; Career Opportunity Listings on IRM Websites; Upcoming Events!; More Clients Following IRM's Roadmap to Revenue Integrity; IRM Welcomes Back John Garcia to the IRM Team; Software Application Enhancements; Client Corner: Code-Based Reimbursement Project Rollout and Forum Call Calendar; Greenwood Leflore Hospital Joins the Million Dollar Club!; A Success Story: Hire For Attitude ... Train For Skill; Revvvvvv-Up Your Revenue! Zero Tolerance for Revenue Leakage Due to Silent PPOs - Part II. Click here to read more!



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August 2007 Newsletter

In the August 2007 edition of "Net Revenue Matters" you will find articles and information on: The Biggest Change to Hospital Reimbursement Since 1983; 2008 CPT Code Changes Right Around the Corner; Upcoming Events; Say Whaaaaaat? Fun Facts; National Coverage Determination for the Use of Erythropoiesis Stimulating Agents (ESAs) for Non-Renal Disease Indications; CMS Offers Guidance on E/M Guidelines; August is National Immunization Awareness Month; the Client Corner with information on CBR Project Rollout and Forum Call Callendar and Intermountain Healthcare's RID Implementation; and a new column on how to Rev-Up Your Revenue with a beginning column series on Zero Tolerance for Revenue Leakage Due to Silent PPOs - Part I. Click here to read more!



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July 2007 Newsletter

In the July 2007 edition of "Net Revenue Matters" you will find articles and information on: Pricing Transparency Continues to Be Hot Topic in Congress; New ICD-9-CM Codes Effective 10/1/07; Pay for Performance; Upcoming Events; Feeling Gouged at the Gas Pump?; Tufts New England Medical Center Joins Million Dollar Club; Sisters of St. Francis Health Services: 2 Years of Success!; New Finance Chief Takes the Reins at University Health Care; Save the Dates! Best Practice 2008; and Say Whaaaaaat? Fun Facts. Click here to read more!



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June 2007 Newsletter

In the June 2007 edition of "Net Revenue Matters" you will find articles and information on: The OIG and Compliance Audits; Upcoming Events; Present on Admission Indicator; Information at Your Fingertips; Client Corner; Say Whaaaaaat? Fun Facts; June Is National Safety Month; and the CMS Transmittal 1240 attachment. Click to read more!



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May 2007 Newsletter

In the May 2007 edition of "Net Revenue Matters" you will find articles and information on: UB-04 Implementation and the Present on Admission (POA) Indicator; Success Stories; Preparing for Retirement? Controlling Your Personal Spending; Upcoming Events!; New Process for Database Upgrades; and IPPS 2008 Proposed Rule. Click to read more!



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April 2007 Newsletter

In the April 2007 edition of "Net Revenue Matters" you will find articles and information on: Pricing Transparency; Comprehensive Error Rate Testing (CERT) - Changes to Timelines for Medical Records Requests; Tufts New England Medical Center Completes Training and Implementation; Million Dollar Club News: Sentara Healthcare Joins the Million Dollar Club!; 2nd Annual Revenue Management Day Celebrations; OPPS Quality Measures are on Their Way; and 2007 Events from The Coding Group. Click to read!



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March 2007 Newsletter

In the March 2007 edition of "Net Revenue Matters" newsletter you will find articles and information including: Daylight Savings Time; TCG to Host Booth at the AAPC 15th Annual Coding Conference; Upcoming Events; Jack Duffy and TCG to attend Annual AAMAS Conference; 2nd Annual Revenue Management Day Celebration; 2007 Revenue Management Best Practice Forum Wrap-up; IRM Welcomes Intermountain Healthcare; Houston Healthcare Reaches Their Goal; and RAC - Coming to a Hospital Near You. Click to read more!



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February 2007 Newsletter

In the February 2007 edition of "Net Revenue Matters" newsletter you will find articles and information including: CMS Does Listen!; Upcoming Events; 2007 Best Practice Forum Next Week; 2007 Process Improvement Projects; Medicare Extends Payment for preadministration-Related Services Associated with IVIG Administration; Save the Date: March 15, 2007! Celebrate the 2nd Annual Revenue Management Professional's Day; and IRM Welcomes Mercy Hospital and Medical Center. Click to read more!



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January 2007 Newsletter

In the January 2007 edition of "Net Revenue Matters" newsletter you will find articles and information on: Medically Unlikely Edits; Upcoming Events; 2007 Best Practice Forum Updates; Payment for Brachytherapy Sources - APC or Cost; and a Brachytherapy Project attachment. Click to read more!



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ATTACHMENT: December 2006 Newsletter - Addendum E 2006

Attachment to December 2006 Newsletter: Addendum E 2006 Inpatient Only Codes. Please contact us if you would like the Excel spreadsheet version of this attachment!



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December 2006 Newsletter

The December 2006 edition of the "Net Revenue Matters" newsletter includes articles and information on: OPPS 207 Final Rule - Changes to Clinic Visits, ED Visits and Critical Care Services; Memorial Medical Center Partners with IRM; Upcoming Events; 2007 Best Practice Forum - Mark Your Calendars!; and CMS Inpatient-Only Procedures. Be sure to download the two attachments for December's newsletter: Addendum E 2006 and Addendum E 2007



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November 2006 Newsletter

The November 2006 edition of the "Net Revenue Matters" Newsletter includes articles and information on: November is National Diabetes Month; Does Your Hospital Have an NPI?; Tufts New England joins the IRM Family; Upcoming Events; TCG and Dubois Medical Center Take Denvery by Storm; Holiday Travel - Keep Your Sanity Intact!; and Info, Info, and More Info! Click to read more!



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October 2006 Newsletter

The October 2006 edition of the "Net Revenue Matters" Newsletter includes articles and information on: October is National Breast Cancer Awareness Month; Upcoming events; Flu season is on it's way; Incorrect Discharge Dispositions Costing Hospitals Money (and the related attachment regarding Discharge Dispositions and Transfer DRGs); Sentara Completes RMD Training in Carlsbad; and University Healthcare's RMD Gets the Word Out!



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September 2006 Newsletter

The September 2006 edition of the "Net Revenue Matters" Newsletter includes articles and information on: CMS Releases Comprehensive Medicaid Integrity Plan; The UB-04 is replacing the UB-92; Pricing Transparency - How do you rank?; New IRM Websites: Upcoming Events; Our Best Practice Community Continues to Grow; 2007 IPPS - New and Deleted DRG's; 2007 OPPS Proposed Rule Addresses E/M Guidelines; and the Newest Million Dollar Club Member. Click here to read more!

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