Q: What CPT codes and modifiers would be used to report excisional debridement for removal of a 2x4-cm ulcer on a patient’s right buttocks with vacuum-assisted closure (VAC)?
This week's note from the instructor looks at the implications of a recent OIG brief on how Medicare Advantage organizations could use national provider identifiers (NPI) to monitor for fraud, waste, and abuse.
Q: If an individual provides authorization for a disclosure, can the individual later revoke the authorization? Is the covered entity (CE) then required to “take back” or demand the erasure of any documentation by third parties that may have been made following the original authorization?
Q: Case managers must know the difference between capacity and competence when working with patients of any age. How would you explain the difference between those two essential terms?
This week’s Medicare updates include new instructions for COVID-19 monoclonal antibody infusions, an updated list of telehealth services payable under the Physician Fee Schedule, six new items added to the OIG work plan, and more!
