Our experts answer questions about reporting –X {EPSU} modifiers, retaining written queries, billing inpatient-only procedures, and more.
Q: It is my understanding that we can make PHI disclosures using our EHR for payment/treatment/healthcare operations without a consent and that we do not need to track these requests for an accounting of disclosures. Has this changed?
How should facilities approach claim edits that must be made across departments, such as imaging and surgery?
What is the recommended timeframe for applying edits to a claim?
Q: What's the distinction between the case manager and non-lincensed case manager extender?
Our experts answer questions about diagnostic service coverage in hospitals, coding multi-part procedures, and more.