Q: While no one has a crystal ball, I am wondering what changes we might be expecting in the near future as the new administration makes its mark. How might case management be impacted?
This week’s Medicare updates include a notice about reprocessing certain drug claims that were rejected in error, the latest version of the Medicare beneficiary COVID-19 data snapshot, a table on MAC pricing for COVID-19 testing, and more!
The 2021 update to the ICD-10-CM code set introduced 43 new codes to Chapter 3: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism. Review new codes for sickle-cell diseases, hemolytic anemias, and cytokine release syndrome.
Our coding experts answer questions about CPT reporting for spinal decompression procedures, using medical decision-making to report E/M levels, and more.
In the months before a transition to a new administration, the Office for Civil Rights (OCR) released the long-awaited 2016-2017 HIPAA Audits Industry Report, offering a look at the successes and shortcomings of select covered entities (CE) and business associates (BA).
Q: I've noticed an increase in denials for diagnoses of gram-negative pneumonia. How can we ensure that our providers are accurately documenting the appropriate clinical indicators?
