Q: A child presents to the ED with a closed fracture of his left hand. The physician performs a two-view hand x-ray that shows a small fracture. The physician reduces the fracture and performs a one-view x-ray to ensure alignment. Which CPT codes and modifiers would be used to report the physician’s services?
The novel coronavirus (COVID-19) pandemic has created challenges for case management departments. They must balance protecting the health of case management staff while maximizing productivity. In this new environment, departments are closely examining the role of the utilization review (UR) case manager.
Q: Naturally, companies are curious to learn which of their employees have been exposed to COVID-19 as the workforce begins to return to the office. Under what circumstances can healthcare providers legally disclose a patient’s diagnosis to his or her employer?
This week's note from the instructor reviews coding and documentation requirements for severe malnutrition in light of another OIG review of these types of claims.
An appeals court ruled that CMS has the authority to implement a controversial site-neutral payment policy. The ruling, delivered July 17, reversed a 2019 district court decision that vacated the policy.
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a rich source of data. Consider how to use the PEPPER to guide coding and CDI process improvements.
