Q: We recently had a patient who was admitted with sepsis and the physician documented sepsis, a urinary tract infection (UTI) related to a chronic Foley catheter, and pneumonia. Can we report sepsis first instead of the complication code, or is the complication always first?
This week's note from the instructor reviews recent clarifications for the use of revenue coes 0942 and 0240 when billing for hospital inpatient Part B services.
Q: Does the HIPAA Privacy Rule strictly prohibit the disclosure or request of an entire medical record? If not, does there need to be a case-by-case justification every time an entire record is disclosed?
