Q: Case managers must know the difference between capacity and competence when working with patients of any age. How would you explain the difference between those two essential terms?
This week’s Medicare updates include new instructions for COVID-19 monoclonal antibody infusions, an updated list of telehealth services payable under the Physician Fee Schedule, six new items added to the OIG work plan, and more!
CMS is reminding providers to ensure that Medicare claims for telehealth are correctly billed. The agency issued broadly expanded telehealth services as part of its response to the COVID-19 public health emergency.
Cancer Treatment Centers of America and Midwestern Regional Medical Center (CTCA) based in Zion, Illinois, reported a breach last month potentially affecting 104,808 individuals, according to the Office for Civil Rights (OCR) breach report.
Cybercrime is up in the healthcare industry, and it’s a good idea to make sure you’re ready to respond to cyber incidents. The key to speedy mitigation is to have a security incident response plan, test the plan, and make sure it works as you exercise it. Having a plan is also a HIPAA Security Rule requirement.
Q: We're looking for ways to bring our CDI and coding teams together to improve documenation and coding for appropriate Hierarchical Condition Categories (HCC) capture. Are there any recommended models and should other departments or individuals be working alongside them?
