News & Analysis

June 17, 2020
News & Insights

Q: If our organization failed to provide the Medicare Outpatient Observation Notice (MOON) or the Important Message from Medicare (IM) form to a patient during the chaos of the novel coronavirus (COVID-19) pandemic, should we avoid submitting a Medicare claim for the case?

June 15, 2020
News & Insights

Q: What services will require prior authorization from Medicare starting July 1 and how do we submit prior authorizations to Medicare?

June 15, 2020
Briefings on HIPAA

As soon as the novel coronavirus (COVID-19) entered the United States, reports began to surface detailing an increased rate of cyberattacks against healthcare entities. That trend is unlikely to change anytime soon.

June 12, 2020
Case Management Monthly

COVID-19 Medicare billing rules continue to evolve, so it can be challenging to stay abreast of the developments. Some recent changes have given case managers and hospitals more flexibility when it comes to treating both COVID-19 and non-COVID patients, as medical practices increasingly look to resume providing elective surgeries and other procedures.

June 12, 2020
News & Insights

Q: What level of supervision is required for wound care services performed in an off-campus, provider-based outpatient department?

June 11, 2020
HIM Briefings

This week's note from the instructor discusses the steps involved in the prior authorization process for certain hospital outpatient department services. 

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