Q: Under what circumstances can a CE disclose PHI to family and friends of the patient? Does the patient always need to verbally consent to the disclosure? For example, if a patient brings a friend or family member with him or her into the emergency room, should the doctor assume that the patient is OK with the friend or family member being privy to PHI?
Our coding experts answer questions about reporting modifier -58 for physicians and facilities, developing a charge capture audit process, and interpreting the 2021 E/M guidelines.
This week’s Medicare updates include revisions to the OPPS quarterly update implementation transmittal, slides on Medicare payment for COVID-19 viral testing at skilled nursing facilities, 2021 benefit and cost-sharing information for Medicare Advantage and Part D plans, and more!
Organizations that received Provider Relief Fund payments of more than $10,000 will be required to report information on how PRF payments were used as well as expenses related to the novel coronavirus that were not reimbursed (COVID-19), according to new HHS guidance.
Drafting an effective appeal in response to payer audits and overpayment demands goes beyond just coding and billing; it also often requires a deeper analysis and technical response. Discover methods to improve your appeals strategy with an eye on facts and compliance.
