News & Analysis

July 21, 2020
Case Management Monthly

Prior authorizations will be needed for certain hospital outpatient services starting on July 1, 2020. The change was made in the 2020 outpatient prospective payment system/ambulatory surgical center final rule. Hospitals are required to get prior authorization for the following five procedures:

July 20, 2020
News & Insights

Q: How is the Medicare Part A and B deductible applied to blood products?

July 20, 2020
Briefings on HIPAA

As the healthcare industry continues to transition from face-to-face appointments to telehealth during the novel coronavirus (COVID-19) pandemic, reports of video conference hijacking are emerging nationwide.

July 17, 2020
News & Insights

Q: We have a patient that was admitted with sepsis due to COVID-19 who also has human immunodeficiency virus (HIV). How should we report this in ICD-10-CM, and which MS-DRG would this be assigned to?

July 17, 2020
Case Management Monthly

Patients who leave the hospital against medical advice are more likely than other patients to be readmitted to the hospital within 30 days, adding up to a sizable and costly problem, according to a study published June 11 in the Journal of the American Medical Association (JAMA) Network Open.

July 16, 2020
News & Insights

Q: Many media organizations are filming outside the premises or sometimes even in the hospital. When they interview hospital leaders and health officials, this can be done with things happening in the background. How can hospitals prevent accidental disclosures—a patient’s face showing up in the background during an interview, for example? What should the rules be for media looking to film at the facility?

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