News & Analysis

October 5, 2020
News & Insights

Q: How will CMS make payments for radiation therapy (RT) services under the Radiation Oncology Model rule?

October 2, 2020
Case Management Monthly

For case managers, working with patients experiencing homelessness is always a challenge. But now, amid the novel coronavirus (COVID-19) pandemic, many fear the problem will soon grow exponentially worse.

October 2, 2020
News & Insights

Q: During an outpatient visit, a nurse reviews the patient’s medical history and a physician performs an examination in the presence of the nurse. If you adhere to the 2021 E/M guidelines and use time as the controlling factor for code selection, can you report one E/M code for these shared services?

October 1, 2020
Briefings on APCs

Outpatient coders should be familiar with CPT reporting for knee surgeries based on information in the operative note. This article reviews the anatomy of the knee joint and CPT coding for arthroscopic and reconstructive procedures used to visualize and treat common knee conditions.

October 1, 2020
Briefings on APCs

Valerie A. Rinkle, MPA, CHRI, reviews what providers need to know about the latest payment model from CMS’ Centers for Medicare and Medicaid Innovation.

October 1, 2020
News & Insights

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?

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