News & Analysis

July 23, 2020
News & Insights

Q: Naturally, companies are curious to learn which of their employees have been exposed to COVID-19 as the workforce begins to return to the office. Under what circumstances can healthcare providers legally disclose a patient’s diagnosis to his or her employer?

July 22, 2020
News & Insights

Q: Patients who leave the hospital against medical advice (AMA) have a much higher 30-day readmission rate than patients with non-AMA discharges. What strategies can case managers use to help patients who may be at risk for leaving AMA?

July 21, 2020
Case Management Monthly

Prior authorizations will be needed for certain hospital outpatient services starting on July 1, 2020. The change was made in the 2020 outpatient prospective payment system/ambulatory surgical center final rule. Hospitals are required to get prior authorization for the following five procedures:

July 20, 2020
News & Insights

Q: How is the Medicare Part A and B deductible applied to blood products?

July 17, 2020
News & Insights

Q: We have a patient that was admitted with sepsis due to COVID-19 who also has human immunodeficiency virus (HIV). How should we report this in ICD-10-CM, and which MS-DRG would this be assigned to?

July 16, 2020
News & Insights

Q: Many media organizations are filming outside the premises or sometimes even in the hospital. When they interview hospital leaders and health officials, this can be done with things happening in the background. How can hospitals prevent accidental disclosures—a patient’s face showing up in the background during an interview, for example? What should the rules be for media looking to film at the facility?

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