June 24, 2019
News & Insights

Q: My team is asking me if we should combine pre-admission testing (PAT) visits with the surgery bill. I'm thinking no because some of the PAT services are not routine for the surgery. However, isn't there a rule about services that can't be billed separately prior to surgery?

June 21, 2019
News & Insights

Q: A clinician documented "combination Type 1 and Type 2, diabetes mellitus in poor control." This condition is sometimes called Type 1.5 diabetes. What is the correct ICD-10-CM code assignment for Type 1.5 diabetes?

June 17, 2019
News & Insights

Q: Our clinical trial claims often hit edits for missing drugs or devices when those are supplied by the trial sponsor and we can't bill for them. We've been manually reviewing these edits. Is there a recommended method for handling these types of edits that's more efficient?

June 14, 2019
News & Insights

Q: We have a patient who received a pancreas transplant for the treatment of diabetes. The patient was later admitted to the hospital for treatment of an unrelated kidney stone. Would I still need to assign the ICD-10-CM code for diabetes as a chronic condition based on the patient’s medical history?

June 19, 2019
News & Insights

Q: How does the Medicare Care Choices Model help patients who need hospice care?

June 26, 2019
News & Insights

Q: What skills does a case manager need to conduct a successful motivational interview?

June 27, 2019
News & Insights

Q: Is it a HIPAA violation if it is discussed among coworkers why another coworker left work early for being ill? 

June 20, 2019
News & Insights

Q: I have heard that HIPAA says covered entities must keep data backups a minimum of five miles away from the original site where the data was collected. Is this correct? Are there any restrictions or guidance about the location of data backups?

June 13, 2019
News & Insights

Q: I work for a behavioral health recovery center, and many of our programs fall under 42 CFR Part 2, as we provide substance use services. Sometimes a referring agency follows up to ask if a client has scheduled an appointment. Can we confirm that a patient has made an appointment? Do referral appointments like this fall under PHI?

June 12, 2019
News & Insights

Q: What do I need to know about the Physician Payment Sunshine Act?

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