To select the most specific CPT codes for prenatal care, physician coders must have a solid understanding of complex guidelines for reporting pregnancy-related office visits. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, unpacks services included in the global obstetric package and CPT coding for routine prenatal care.
CMS has reinstated the short-stay reviews and high-weighted DRG reviews originally halted in 2019. The national contract to conduct these reviews was awarded to Livanta, one of the Beneficiary & Family-Centered Care and Quality Improvement Organizations.
Anna, a case manager who practices in a pulmonologist’s office, manages adult high-risk asthmatic patient care. The office serves more than 2,000 patients, which Anna learns is the upper range of average. She recently learned that the American Association for Physician Leadership believes that a physician’s office can successfully handle a volume of 3,000 patients.
With the first month of fall arrived, it’s time to start thinking of the year ahead—and, of course, to finish the year strong. We’ve gathered some HIPAA compliance tips to consider while getting through the final third of the year and building some compliance momentum heading into 2022.
HHS recently issued its Summer 2021 OCR Cybersecurity Newsletter, covering the topic of controlling access to ePHI. HHS officials cited a Verizon 2021 Data Breach Investigations report that found 61% of analyzed data breaches in the healthcare sector were perpetrated by external threat actors and 39% were carried out by insiders.
This week’s Medicare updates include an announcement on expanded payments for at-home COVID-19 vaccinations, dates for implementation of the Prior Authorization Model for Repetitive, Scheduled Non-Emergent Ambulance Transports nationwide, an OIG review of phlebotomy travel allowances, and more!
