February 12, 2018
News & Insights

What are some examples of hospital departments that do not furnish clinical services and would not be considered provider-based?

February 9, 2018
News & Insights

Q: What should we report if you have a compression dressing that was applied to the thigh, in addition to the lower leg, since CPT code 29582 (multi-level compression bandage application, thigh to foot) was deleted for 2018? 

February 8, 2018
News & Insights

Q: I work at a marketing company, and we are trying to figure out what exactly we can put on a postcard. What is required, per HIPAA regulations, to be fully compliant if we were to do things like dental patient reminders? We would have patient information from the offices. How would we need to handle that information? What are we allowed to include in our designs?

February 7, 2018
News & Insights

What strategies can case managers employ to engage physicians in the utilization review process?

February 5, 2018
News & Insights

How does Medicare cover hospital outpatient diagnostic services furnished in a provider-based department?

February 2, 2018
News & Insights

Q: How does the Supplemental Medical Review Contractor determine which reviews to perform? Does SMRC work for CMS or our Medicare Administrative Contractor? 

February 1, 2018
News & Insights

Q: If a patient accidentally puts the paperwork in the trash or on the table, and the information on the paperwork is visible to other patients or family members, is it a HIPAA violation?

January 31, 2018
News & Insights

How can case managers improve teamwork across the continuum of care?

January 29, 2018
News & Insights

Our hospital is located in a rural location where it is difficult to find specialty physicians to provide services to its hospital outpatients. We are trying to determine which of our facilities that furnish services on or near the hospital campus would be excluded from provider-based requirements. 

January 26, 2018
News & Insights

Q: Can you explain when to code pleural effusion as a secondary diagnosis when it is present with congestive heart failure?

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