In this month's HIPAA Q&A, our expert answers questions on shared insurance policies, posting thank-you notes in employee-only areas, referrals to Part 2 facilities, and more!
Case managers often run into questions when performing their daily duties. Sometimes they’re related to best practice, and other times they’re related to regulatory issues.
Q: We had a patient with hemorrhagic cystitis. Our preprocedural plan was a cystoscopy with a bladder biopsy and cauterization. How should this be reported in ICD-10-PCS? We are having trouble choosing between Control or another root operation, and we are getting different MS-DRGs depending how the procedure is reported.
Q: I recently filed a complaint against my insurance company. The insurance agent who handles my case informed my boss that I filed a complaint against her. Now my boss is mad at me, and I feel like my job is at risk. Is this a HIPAA violation?
Q: A pain specialist practice called to set up an apointment for my wife while she was out. She has various medical problems, and I am often in contact with her doctors. I asked if I could set up the appointment, and they said it would be a HIPAA violation to speak to anyone other than the patient about their schedule. Is that correct?
