March 3, 2021
News & Insights

Q: As of May 1, UnitedHealthcare, the largest health insurance company in the United States, will be switching from using Milliman Care Guidelines (MCG) to InterQual. How will this affect organizations, and what can they do to smooth the transition?

March 1, 2021
News & Insights

Q: What are the recommended primary focus areas when auditing the chargemaster and charges?

February 26, 2021
News & Insights

Q: When two conditions are both present on admission, both meet the definition to be the principal diagnosis, and are “equally treated,” my understanding is that the condition does not have to be "equally treated" in the sense of duration/frequency. Is this correct?

February 1, 2021
Briefings on APCs

Our coding experts answer questions about CPT reporting for spinal decompression procedures, using medical decision-making to report E/M levels, and more.

February 24, 2021
News & Insights

Q: What are the best strategies for case managers working with patients who have dealt with past trauma?

February 25, 2021
News & Insights

Q: Is it permissible to store paper patient records in a public storage unit? If so, do the storage units need to use specific safeguards to be HIPAA compliant?

February 22, 2021
Briefings on HIPAA

Q: Do companies such as FitBit (and others that sell wearable devices that track and store health information) need to abide by HIPAA regulations? Should I be concerned with how these companies are viewing and sharing my health information?

February 22, 2021
News & Insights

Q: During the public health emergency, are outpatient therapy services provided to a patient located in their home or a clinic billed in the same way as outpatient therapy services provided to a patient whose home has been designated a provider-based department (PBD)?

February 19, 2021
News & Insights

Q: How do you select an E/M code for an outpatient visit based on documentation of medical decision-making (MDM)?

February 18, 2021
News & Insights

Q: If our organization suffers a breach, we must post a security notice on our website. How long must this security notice stay on the site?

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