Q: For a ureteroscopy intended as a procedure with a biopsy and double-J stent, if the procedure ends when only the scope was placed before a biopsy was taken, could you just code ureteroscopy instead of coding it with the biopsy and the modifier -74?
Q: A clinic employee is being seen as a patient of the clinic for additional vaccinations. The medical assistant rooming the patient wants to review the vaccination history. Is this a HIPAA violation?
Q: My case management staff is having trouble communicating with the physicians at our facility. What skills can I teach my staff to improve communication?
Outsourcing some HIM functions is common at many organizations. The decision might initially be spurred by staffing shortages or budgetary concerns, but many outsourcing arrangements become long-term projects.
In fiscal year 2016, 65% of providers were subject to prepayment review associated with the CMS Fraud Prevention System, according to a report by the United States Government Accountability Office (GAO).
