Q: A recent study by the California Lab Policy reported 50% of unsheltered individuals experience "tri-morbidity" (co-occurring physical health, mental health, and substance abuse challenges), compared to just 2% of sheltered individuals. What can case managers do to assist these patients?
UnitedHealthcare’s (UHC) plan to require in-network, freestanding and outpatient laboratory claims to contain a unique code for most lab testing services is poorly timed and poses significant implementation hurdles, the American Hospital Association (AHA) said.
This week’s Medicare updates include the 2022 Medicare Advantage and Part D Advance Notice, the final report from the Coronavirus Commission on safety and quality in nursing homes, a final rule on new specialty care payment models, and more!
Q: We recently took a survey and many of our employees admitted to saving their passwords in a Word® document or a Notes® file on their phone. Is this riskier than having passwords written down on paper and stored in a safe place at work or home? How can we discourage employees from writing down their passwords anywhere?
The use of chronic care management (CCM) CPT codes increased over a four-year period, but physicians infrequently reported codes for complex CCM, according to findings from a review of Medicare claims recently published in the Annals of Family Medicine.
Q: When is it appropriate to report both flash or acute pulmonary edema and acute on chronic heart failure (diastolic, systolic, or other) in ICD-10-CM? What other etiologies lead to flash pulmonary edema and how do I know when to query?
Case management directors and their staffs are vigilantly watching the nursing homes in their areas to determine which nursing homes have available beds and which may have no beds at all due to a novel coronavirus (COVID-19) outbreak.