Q: The combination of hospitals' financial constraints and the isolation associated with remote work can create low morale within a case managment department. How should case management directors combat these factors?
Prior authorizations will be needed for certain hospital outpatient services starting on July 1, 2020. The change was made in the 2020 outpatient prospective payment system/ambulatory surgical center final rule. Hospitals are required to get prior authorization for the following five procedures:
Q: I am confused on the HIPAA rules for patients needing to show their driver’s license at the doctor’s office, hospital, or any other medical facility so the driver’s license can be scanned and put into their systems. I have refused to do that, but the facilities informed me that they were required by Medicare to scan the driver’s license. Is there a rule that clearly states that this is a requirement?
Q: When might it be appropriate to report computer-aided mapping of the cervix uteri using 2021 CPT add-on code 57465 (computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect)?
Q: Due to changes implemented by provisions of the Improving Medicare Post-Acute Care Transformation (IMPACT) Act, hospitals must support the patient’s ability to choose a postacute facility by providing not only a list of providers in the patient’s area, but also information about the quality of services they provide. What steps can hospitals take to provide clear, actionable information to patients?
