Q: A patient presents to a wound care clinic for assessment of a 15 sq. cm open wound. A nurse evaluates the wound for size, depth, and evidence of inflammation and performs sharp selective debridement. Would it be appropriate to bill an E/M code and if so, should we report modifier -25?
This week's note from the instructor delves into the key policies from the 2020 Inpatient Prospective Payment System (IPPS) final rule which revenue cycle staff need to familiarize themselves with prior to implementation on October 1, 2019.
Q: Is there anything that a hospital needs to do regarding HIPAA and the confidentiality of famous patients? Obviously employees shouldn’t snoop, but can you recommend any added protections?
This week’s Medicare updates include the release of the 2020 ICD-10-CM coding guidelines, a decision memo on chimeric antigen receptor T-cell therapy, a booklet on critical access hospital requirements, and more!
