News & Analysis

August 21, 2019
Medicare Web

Q: How can case managers help Medicare patients who may not be able to afford their prescriptions?

August 19, 2019
Medicare Web

Q: How can we ensure key staff are kept up to date on commercial payer changes?

August 16, 2019
Medicare Web

Q: A patient presents to a wound care clinic for assessment of a 15 sq. cm open wound. A nurse evaluates the wound for size, depth, and evidence of inflammation and performs sharp selective debridement. Would it be appropriate to bill an E/M code and if so, should we report modifier -25?

August 15, 2019
Medicare Web

Q: Is there anything that a hospital needs to do regarding HIPAA and the confidentiality of famous patients? Obviously employees shouldn’t snoop, but can you recommend any added protections?

August 14, 2019
Medicare Web

Q: What are some examples of programs that address social determinants of health (SDoH) in an Accountable Care Organization (ACO) setting?

August 12, 2019
Medicare Web

Q: What is the difference between a Medicare claim appeal (redeterminiation) versus reopening of a claim?