April 23, 2021
News & Insights

Q: What CPT codes and modifiers would be used to report excisional debridement for removal of a 2x4-cm ulcer on a patient’s right buttocks with vacuum-assisted closure (VAC)?

April 21, 2021
News & Insights

Q: Case managers must know the difference between capacity and competence when working with patients of any age. How would you explain the difference between those two essential terms?

April 16, 2021
News & Insights

Q: Is it appropriate to report an E/M code for visit services provided in conjunction with a wound care procedure?

April 14, 2021
News & Insights

Q: One of the biggest challenges for case management directors is gaining the physician’s cooperation with documentation as they continue to face high patient volumes. What approaches should be taken to get physicians on the same page as case management directors?

April 12, 2021
News & Insights

Q: How does CMS calculate payments to rural health clinics (RHC) subject to the all-inclusive rate (AIR)?

April 9, 2021
News & Insights

Q: We have a patient admitted for COVID-19 who is now showing signs of cytokine release syndrome (CRS). Can you give our team more information on symptoms or clinical indicators for CRS as well as any ICD-10-CM coding advice?

April 7, 2021
News & Insights

Q: We have heard that Medicare short-stay inpatient admissions may soon come under increasing audit scrutiny by Livanta, the Beneficiary and Family-Centered Care Quality Improvement Organizations that was awarded the nationwide contract for reviewing these admissions. What can we do to reduce our audit risk?

April 26, 2021
Briefings on HIPAA

Q: Is it considered a HIPAA violation for facilities to keep patient charts outside of exam rooms or at a patient's bedside? Most providers prefer to have the charts handy to review just before seeing the patient. However, anyone could walk by the room and potentially get a glance at the information. Would this be considered an incidental disclosure?

April 5, 2021
News & Insights

Q: What revenue codes are used to prevent triggering a copay or deductible when billing Medicare for COVID-19 monoclonal antibodies?

April 1, 2021
News & Insights

Q: What is a subchondroplasty and how is this procedure reported in CPT?

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