Q: How does CMS define a "shoppable service"? What information needs to be included in the list of 300 shoppable services required by the Hospital Price Transparency final rule?
Q: We have an elderly patient admitted to our hospital who is also presenting with osteoarthritis (OA) of the right knee. How can we determine primary versus secondary OA, and how would it be reported in ICD-10-CM?
Q: When dealing with a natural disaster such as the California wildfires, does the HIPAA Privacy Rule allow information to be shared more easily? What are some examples of changes to the Privacy Rule during these circumstances?
Q: Many people are experiencing prolonged isolation during the novel coronavirus (COVID-19) pandemic. How is this affecting their health outcomes, and how can case managers help?
Q: What type of protected health information (PHI) can be used for marketing? Are authorizations always necessary when using PHI for marketing purposes? If not, what are some situations when patient authorization would not be required?
Q: During the novel coronavirus (COVID-19) pandemic, it has become abundantly clear that the burden from this disease has not been shared equally. Minorities have been disproportionately affected, and many of the problems are due to structural inequalities that existed long before the pandemic began. How can case managers address some of these underlying problems in hopes of improving health equality?
Q: The 2021 Inpatient Prospective Payment System (IPPS) final rule requires providers to transmit all records to Quality Improvement Organizations (QIO) electronically. How can organizations make sure that they are in compliance if they’re not already?
Our coding experts answer questions about chart audit focus areas, reporting separately payable E/M services with modifier -25, physician billing via telehealth, and more.
