Sending out a mass mailing of a pamphlet that contained Medicare beneficiary numbers resulted in a civil monetary penalty of $6,768,000 for Triple-S Salud, Inc. (TSS), a Puerto Rican health insurance subsidiary.
Case managers need to possess a variety of skills to work effectively with patients. They need the clinical experience to perform utilization review (UR) functions, but they also need patient support and problem solving skills.
While many of the code changes in the 2014 CPT® Manual surgical sections involve bundling together common procedures, the major changes in the Radiology and Laboratory sections involve updates for newly recognized technologies and drugs.
Our experts answer questions on payment rates for scans, bronchodilator treatment, the inpatient-only list, stereotactic radiosurgery, bill exposure with arthrodesis, and more.
