Ask the Expert

Q: Do we need to monitor Medicare's additional documentation requests (ADR) as part of our denials management program?

Q: How are selective and nonselective wound debridement procedures documented in the medical record and coded using CPT?

Q: What have you seen as best practices with faxing PHI? We still rely often on faxing patient records.

Our experts answer questions about establishing billing and revenue cycle metrics, preparing medical records for audits, and more.

Q: Case management education seems to vary widely. What is the Career Knowledge Pathway?

This month's HIPAA Q&A includes answers on destroying paper records, doctors communicating with patients from their phones, copies of subcontractor agreements, and more!

Q: What does a case manager need to know when helping a patient with their discharge plan?

Q: How do we manage Medically Unlikely Edits (MUE) on clinical trial claims?

Q: A nurse practitioner told a patient to return after an office visit if his chest pain worsened, and the provider ordered a nuclear stress test to take place the next day. Can my provider count the plan for the stress test in the medical decision-making for the previous encounter?

Q: We have recently begun to alert patients about appointments via text message. What are some things we should know about remaining HIPAA-compliant through this process?