News & Analysis

June 13, 2019
News & Insights

Q: I work for a behavioral health recovery center, and many of our programs fall under 42 CFR Part 2, as we provide substance use services. Sometimes a referring agency follows up to ask if a client has scheduled an appointment. Can we confirm that a patient has made an appointment? Do referral appointments like this fall under PHI?

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?  

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