News & Analysis

July 27, 2020
Briefings on HIPAA

Q: I have read recently about the uptick in “vishing,” or voicemail messaging scams, targeting remote healthcare workers. What are your recommendations for protecting against this type of threat?

July 24, 2020
News & Insights

Q: A child presents to the ED with a closed fracture of his left hand. The physician performs a two-view hand x-ray that shows a small fracture. The physician reduces the fracture and performs a one-view x-ray to ensure alignment. Which CPT codes and modifiers would be used to report the physician’s services?

July 23, 2020
News & Insights

Q: Naturally, companies are curious to learn which of their employees have been exposed to COVID-19 as the workforce begins to return to the office. Under what circumstances can healthcare providers legally disclose a patient’s diagnosis to his or her employer?

July 22, 2020
News & Insights

Q: Patients who leave the hospital against medical advice (AMA) have a much higher 30-day readmission rate than patients with non-AMA discharges. What strategies can case managers use to help patients who may be at risk for leaving AMA?

July 21, 2020
Case Management Monthly

Prior authorizations will be needed for certain hospital outpatient services starting on July 1, 2020. The change was made in the 2020 outpatient prospective payment system/ambulatory surgical center final rule. Hospitals are required to get prior authorization for the following five procedures:

July 20, 2020
News & Insights

Q: How is the Medicare Part A and B deductible applied to blood products?

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