Q: Can an ICD-10-CM body mass index (BMI) code be used as a standalone code? If not, what documentation should we look for to justify the use of a BMI code?
If you’re involved in utilization review and have found yourself in the uncomfortable position of having to tell a doctor that a patient doesn’t meet criteria for an inpatient stay, you may want to consider different ways to approach these conversations.
Q: I am an acupuncturist and have a patient who owes me $100. I contacted the patient about the missing payment but received no response. Would it be a HIPAA violation to get in touch with the patient’s emergency contact person about the missing payment? Or should I go to a debt collector?
A proposed rule that would expand the use of prior authorization and step therapy for Part D and Medicare Advantage beneficiaries has earned criticism from patient advocacy groups and praise from pharmacy groups.
This week’s Medicare updates include an FAQ on the new price transparency rule for 2019, an update to the Medicare Benefit Policy Manual to include new payment policies for rural health clinics, a fact sheet on the Value-Based Purchasing Program for FY 2019, and more!
