Ask the Expert

Q: How can I identify a suspended claim? Is there anything that can be done to move a suspended claim forward?

Q: Considering the fiscal year 2019 update to the ICD-10-PCS Official Guidelines for Coding and Reporting for Transfer procedures, how should we now report a pedicled transverse rectus abdominis myocutaneous (TRAM) flap procedure in ICD-10-PCS?

Q: Does sharing the phone number of a physician who does not work in-house at a lab facility with a patient constitute a HIPAA violation?  

Q: What kinds of technology should case managers be using to help them on the job?

Q: Where can I find information on utilization review (UR) requirements for Medicare Advantage (MA)?

Q: What 2019 CPT updates were made to E/M codes for interprofessional telephone and internet consultations?

Q: A patient recently told me she was surprised to learn from another physician at our facility that her adult child had been prescribed a particular medication for high cholesterol. Her child is not a dependent adult under her care. Is it a HIPAA violation for a provider to discuss the care of non-dependent adult children with their parents?

In this month's director's desk, we answer your questions on post-discharge planning and HIPAA.

In this month's HIPAA Q&A, we answer your questions about sending unencrypted emails to the right recipient, discussing patients with colleagues, scheduling appointments for spouses, and filing complaints against insurance companies.

Our experts answer questions about coding infusions for chemotherapy and documentation requirements for reporting BMI in ICD-10-CM.