News & Analysis

June 12, 2019
News & Insights

Q: What do I need to know about the Physician Payment Sunshine Act?

June 10, 2019
News & Insights

Q: What is the difference between a hard and a soft denial?

June 7, 2019
News & Insights

Q: A physician orders a comprehensive metabolic panel (CPT code 80053) and an additional quantitative blood sample to measure blood glucose level (CPT code 82947). Would the physician report modifier -91 (repeat clinical diagnostic laboratory test) or -59 to indicate that the blood sample was performed separately from the panel?  

June 6, 2019
News & Insights

Q: I am a college student who had to miss three days of classes because I was ill. One of my professors needed proof that I was too ill to attend class. When I asked the health center for a note, they said it would be a HIPAA violation to provide any details about my illness. Were they right?

June 5, 2019
News & Insights

Q: Can you point me toward opportunities for doing case management work in ambulatory care?  

June 3, 2019
News & Insights

Q: Do we need a steering committee for our denial management and avoidance programs? What would be the role of a steering committee?

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