February 17, 2020
News & Insights

Q: Does the physician have to state a patient's expected length of stay (LOS) in the documentation for an inpatient admission?

February 14, 2020
News & Insights

Q: What are the billing and reporting requirements for HCPCS Level II code E0784 (external ambulatory insulin infusion pump)?

February 13, 2020
News & Insights

Q: I work for a pharmaceutical company. I am aware of the more obvious identifiers, but are patient diagnoses or ICD-10 codes (without any other identifiers such as dates of birth or Social Security numbers) considered PHI? I have heard arguments on both sides.

February 12, 2020
News & Insights

Q: If a patient receives less than 24 hours of observation care, do you still have to provide the patient with the MOON form? We often have surgical outpatients who will need observation for six to 12 hours for pain control, IV antibiotics, or other services. After treatment, we will discharge them home, but we need to put them on our surgical floor to provide this care and consequently have been putting them on observation status.

February 10, 2020
News & Insights

Q: How do we bill Part B for an inpatient stay that our UR committee determined was not medically necessary?

February 7, 2020
News & Insights

Q: What is your recommendation for pressure-injury querying using the nursing staff’s documentation?

February 6, 2020
News & Insights

Q: The recent hurricanes around Florida have reminded us we need to prepare for physical disasters. What are some good ways to secure PHI when we know we've got weather that can potentially physically destroy buildings and potentially do damage to things like servers?

February 5, 2020
News & Insights

Q: When working with victims of violence, what steps can case managers take to improve outcomes?

February 3, 2020
News & Insights

Q: When a physician needs to certify an inpatient stay of 20 days or more, do we need to use a specific form for the certification? Or can we submit other documentation such as the physician's notes from the medical record?

January 31, 2020
News & Insights

Q: How will the expected E/M leveling guidelines changes affect hospital visits in 2021?

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