News & Analysis

August 13, 2020
News & Insights

Q: As sports leagues attempt to make their return, many are going to be using daily COVID-19 testing as part of their protocol. Obviously, the leagues need to quarantine any individual who tests positive for the virus. But why is the covered entity that is performing the testing allowed to disclose a patient’s test results to the leagues?

August 12, 2020
News & Insights

Q: How can case managers help patients, especially those dealing with chronic diseases such as diabetes, access care during the novel coronavirus (COVID-19) pandemic?

August 10, 2020
News & Insights

Q: Are commercial payers allowed to conduct a pre- and post-payment review of the same claim?

August 6, 2020
News & Insights

Q: When would it be appropriate to report CPT® add-on code 90785 (interactive complexity)?

August 6, 2020
News & Insights

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?

August 5, 2020
News & Insights

Q: Beginning in July, prior authorization is needed for certain hospital outpatient services such as blepharoplasty, botulinum toxin injections, panniculectomy, rhinoplasty, and vein ablation. Going forward, how should hospitals approach this change?

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