March 4, 2019
News & Insights

Q: What is the recommended method for modeling reimbursement for contracts based on a percentage of Medicare rates?

March 1, 2019
News & Insights

Q: For fiscal year 2019, how would a spinal fusion without any bone grafting material be reported in ICD-10-PCS?

February 28, 2019
News & Insights

Q: At the doctor's office where I work, patients are often friends or family members of staff. I heard in passing that my co-worker's boyfriend was coming in for an appointment later that day, when I mentioned it to the co-worker, she said she would be filing a complaint for a HIPAA violation. Is this really a HIPAA violation? 

February 27, 2019
News & Insights

Q: Can you explain the difference between patient capacity and patient competence and explain what role a case manager has in determining them?  

February 1, 2019
Briefings on APCs

Our experts answer questions about reviewing claims edit data, reporting modifier -XE, and more.

February 25, 2019
Briefings on HIPAA

In this month's HIPAA Q&A, our expert answers questions on medical record requests, health insurance exchanges, fines when there has been no breach of PHI, and mandatory encryption.  

February 25, 2019
News & Insights

Q: Can we correct and resubmit a claim denied before payment as we do claims that are sent back with a pre-payment rejection?

February 22, 2019
News & Insights

Q: What is the difference between ICD-10-CM code I24.8 (other forms of acute ischemic heart disease) and code I21.A1 (myocardial infarction type 2)? In which situation would each of these codes be reported? 

February 21, 2019
News & Insights

Q: Is it a reportable breach if an entity had the ability to send encrypted email, but an unencrypted email was sent to the correct recipient because of a computer fluke or user error?

February 18, 2019
News & Insights

Q: How do we determine financial responsibility for denied managed care services?

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