Q: A child presents to the ED with a closed fracture of his left hand. The physician performs a two-view hand x-ray that shows a small fracture. The physician reduces the fracture and performs a one-view x-ray to ensure alignment. Which CPT codes and modifiers would be used to report the physician’s services?
Q: Naturally, companies are curious to learn which of their employees have been exposed to COVID-19 as the workforce begins to return to the office. Under what circumstances can healthcare providers legally disclose a patient’s diagnosis to his or her employer?
Q: Patients who leave the hospital against medical advice (AMA) have a much higher 30-day readmission rate than patients with non-AMA discharges. What strategies can case managers use to help patients who may be at risk for leaving AMA?
Q: We have a patient that was admitted with sepsis due to COVID-19 who also has human immunodeficiency virus (HIV). How should we report this in ICD-10-CM, and which MS-DRG would this be assigned to?
Q: As case managers, we often deal with patient populations that are afflicted by health disparities. What are some of the best strategies for reducing these disparities?
Q: Many media organizations are filming outside the premises or sometimes even in the hospital. When they interview hospital leaders and health officials, this can be done with things happening in the background. How can hospitals prevent accidental disclosures—a patient’s face showing up in the background during an interview, for example? What should the rules be for media looking to film at the facility?
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?
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?
