News & Analysis

January 27, 2020
Medicare Web

Q: How do we bill for services when our utilization review (UR) team determines postdischarge that an inpatient admission was not medically necessary? Are these services billed as outpatient or inpatient?

January 24, 2020
Medicare Web

Q: We are finding that physician documentation is lacking for vaping-related lung injuries at our hospital, making it hard to report the condition accurately. What can our coding team do to remedy this situation, and how do we accurately report vaping-related lung injuries in ICD-10-CM?

January 20, 2020
Medicare Web

Q: It's been recommended that we develop a chargemaster maintenance team. What departments and roles should be part of this team? Who should lead it?

January 17, 2020
Medicare Web

Q: A physician performed a pleural catheter flush using saline with manual clearance of clots under ultrasound guidance. Should we bill an E/M code for an outpatient office visit or report this using other CPT codes?

January 16, 2020
Medicare Web

Q: The Office for Civil Righs (OCR) has settled its first case related to its Right of Access initiative. What is important to know about this from a security standpoint? Where are common security missteps with releasing information to patients upon request?

January 15, 2020
Medicare Web

Q: Do you have advice for case managers following the recent implementation of CMS’ discharge planning rule?