Q: Case managers across the country have faced challenging circumstances for the past six months, and the novel coronavirus (COVID-19) pandemic is hitting a second wave. How can case managers best cope with the added stress and pressures of the job while caring for their patients during these unprecedented times?
Q: What place of service codes and modifiers should be reported on physician claims for wound care services performed via telehealth during the COVID-19 public health emergency?
Q: What are the essential steps when conducting a risk analysis? Are there any sample tools out there to provide guidance on best practices for risk analyses? How often should organizations be conducting these tests?
Q: For the purposes of determining a Medicare overpayment, should claims that we are uncertain whether they were appropriate be included? Is this defined under the False Claims Act (FCA)?
