This week’s Medicare updates include an article on billing and payment provisions for therapy services under PDGM, an update to the list of DMEPOS items that require prior authorization, a new code to use for coronavirus lab tests, and more!
A recent audit conducted by the Office of Inspector General (OIG) found that the majority of healthcare providers reviewed used Medicare Part D eligibility information for potentially inappropriate purposes.
Over 20% of commercially insured adults who underwent a common in-network surgical procedure between January 2012 and September 2017 received surprise charges for the episode from out-of-network clinicians, according to a recent study published in JAMA.
Q: I work for a pharmaceutical company. I am aware of the more obvious identifiers, but are patient diagnoses or ICD-10 codes (without any other identifiers such as dates of birth or Social Security numbers) considered PHI? I have heard arguments on both sides.