In recent months, OCR has expressed concern that providers and other covered entities may be reluctant to inform and involve the loved ones of individuals facing health crises like opioid use disorder for fear of violating HIPAA. Here, we look at some common misconceptions about privacy under HIPAA and point to the information that patients and families need to know.
On January 8, CMS released MLN Matters SE19002 on status determinations for total knee arthroplasty, which included guidance on how to determine proper status for patients undergoing the procedure, but CMS quickly rescinded it and announced that it is making revisions and will reissue it in the near future.
Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. This does not reduce the payment for the drugs, so this is an informational modifier, but it is a mandatory modifier.
Earlier this week, HHS’ Office of Civil Rights sent out a reminder that public comments to their request for information on improving care coordination and reducing the regulatory burdens of HIPAA are due by February 12, 2019.
Q: Our facility is used to reporting modifier -59 (distinct procedural service), but we're not sure when modifier -XE (separate encounter, a service that is distinct because it occurred during a separate encounter) would be appropriate instead. Could you provide an example?
Pay close attention to new CPT documentation and coding guidance for reporting radiological imaging. For example, a new paragraph titled “Imaging Guidance” in both the surgery and medicine guidelines advises that even when imaging guidance or supervision are included in a surgical procedure code, you must still follow the radiology documentation requirements in the CPT manual.
