Ask the Expert

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? 

Q: Does a Notice of Privacy Practices (NPP) have to be included in a lobby or just handed out to patients during admission? What are good practices generally with the NPP?

Q: We're seeing more patients who are affected by food insecurity. Can you point us toward resources for how to help these patients?

Q: I've been hearing the term food insecurity increasingly mentioned as it relates to case management. Is there a standard definition for it?

Our experts answer questions about coding drugs infused through the same line, reporting labor and delivery in outpatient hospitals, and more.

Q: I'm told, although I'm not convinced, that our payment for Keytruda is denied by Anthem when we use ICD-10-CM code Z51.11 (encounter for antineoplastic chemotherapy) first followed by the code for cancer, i.e., C34.12 (malignant neoplasm of upper lobe, left bronchus or lung). I reviewed the coding guidelines again and that is our instruction. Does anyone have experience with this issue?