Health disparities have received plenty of attention lately, and for good reason. These differences, which exist among various groups in the United States, can affect everything from readmission rates to health outcomes and are often the result of environmental, social, and economic factors.
Irene, an expert medical case manager, is worried about her mother, Sadie, who is 87 years old with severe cardiovascular disease and mild-to-moderate dementia. Sadie lives in an assisted living facility. Clearly, she belongs to the group identified as being the most vulnerable to the novel coronavirus (COVID-19).
Q: OCR has announced that it will waive enforcement discretion for HIPAA violations that occur at COVID-19 community-based testing sites. The agency did, however, indicate that reasonable safeguards should be implemented. What are your safeguard recommendations for a testing site that is constructed in a parking lot?
CDI teams have had to adapt quickly to rapid changes. Understand how CDI leaders have modified practices to support their organizations, their teams, and their communities.
This week’s Medicare updates include the release of the 2021 ICD-10-CM code set files, a proposed decision memo regarding expanded coverage of a transcatheter mitral valve repair procedure, revisions to the July 2020 OPPS update, and more!
Q: How has the 2-midnight rule been impacted by waivers issued during the novel coronavirus (COVID-19) pandemic? What changes should case managers be aware of?
The Office for Civil Rights (OCR) announced in late June that it reached an early case resolution with the state of Tennessee regarding the state’s crisis standards of care (CSC) protocol.
The Centers for Disease Control (CDC) posted the fiscal year (FY) 2021 ICD-10-CM final code changes last week. There were no changes to the proposed list of 490 new, 47 revised, and 58 invalidated codes that were released in the proposed FY 2021 Inpatient Prospective Payment System rule.
Q: Some of our physicians who ordinarily provide services in our provider-based department (PBD) are now providing services to patients in our relocated PBDs, including patients' home. Are we allowed to bill an originating site fee in these circumstances?
