Ask the Expert

Q: If an out-of-country patient comes into our ER, must we be cognizant of his or her home country’s healthcare privacy laws?

Q: Do you have any advice for organizations to ensure they're meeting three-day inpatient stay requirements for discharging patients to skilled nursing facilities (SNF)?

Our experts answer questions about conflicts between coding guidelines and payer requirements, documentation requirements for psychiatric assessments, and more. 

Q: How do we report total observation time when during the encounter the patient also received bundled services that include observation?

Q: What are Medicare's requirements for applying condition code 44 to a claim?

Q: We have a patient who was admitted for an ablation procedure in order to treat his atrial fibrillation (AF). How should we report this in ICD-10-PCS?

Q: What is involved for a stepparent who lives with the legal guardian to access medical records?

Q: CMS' Primary Care First Model Options program begins in 2021, but what should our facility be considering now if we want to join?

Q: How do we bill for items provided to a patient participating in a clinical trial that are not listed on the billing intention?

Q: What is the appropriate CPT code to use for ultrasound (US) guidance during an embryo transfer procedure?