News & Analysis

Q&A: Structuring care coordination rounds

February 13, 2019
Medicare Web

Q: Do you have any advice on how to structure rounds for a hospital case management team?

Q&A: Receiving payments in SPR format

February 11, 2019
Medicare Web

Q: How is a standard paper remittance (SPR) different from an electronic remittance advice (ERA)?

Q&A: CPT reporting for ultrasound elastography services performed with additional ultrasound services

February 8, 2019
Medicare Web

Q: Can you bill CPT codes 76981 (ultrasound, elastography; parenchyma [e.g., organ]) and 76982 (ultrasound, elastography; first target lesion) at the same time as CPT codes for liver and breast ultrasounds?

Q&A: Business associates and their subcontractor agreements

February 7, 2019
Medicare Web

Q: I work for a small hospital. Do we need to ask our business associates (BA) to provide us with copies of their agreements with their BA subcontractors?

Q&A: Applying case management standards of practice to population health

February 6, 2019
Medicare Web

Q: Do the Case Management Society of America’s standards of practice still apply when using a population health approach to case management?

Q&A: Reviewing claims edit data

February 4, 2019
Medicare Web

Q: What type of claims edit data should we capturing and reviewing as part of denials management?

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