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:
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?
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?
Q: As case managers, we often deal with patient populations that are afflicted by health disparities. What are some of the best strategies for reducing these disparities?
