Many case management directors have questions that arise from time to time on a variety of topics. Here are two such questions along with responses that may help if you’re facing similar challenges.
Q: I received confusing guidance regarding CPT coding for a segmental spinal fusion with pedicle screws placed at L3 and L4 vertebrae. Would it be appropriate to report CPT code 22612 with add-on code 22614 for this procedure?
This week's note from the instructor discusses a new exception to the Medicare Secondary Payer Questionnaire process that could reduce the frequency of when these questions need to be asked and enhance patient satisfaction.
Q: How long are we required to retain the records of out-of-state patients? Do we follow HIPAA’s record retention requirements, our state record retention requirements, or the record retention requirements of the state in which the patient lives?
Q: Sometimes a patient doesn’t understand his or her conditions enough to do what he or she can to prevent readmission. Any tips on what a case manager can do to empower patients to learn about their health?
This week’s Medicare updates include information on special waivers to assist Medicare providers, suppliers, and beneficiaries impacted by Hurricane Florence; a proposed rule on changes to various Medicare requirements, Conditions of Participation, and Conditions of Coverage; a review of Medicare payments for clinical laboratory tests; and more!
