November 25, 2019
News & Insights

Q: What is Medicare's criteria for case-by-case approval of an inpatient stay when the patient is not expected to meet the 2-midnight benchmark?

November 22, 2019
News & Insights

Q: A patient presents for routine obstetrical (OB) care following a vaginal delivery. During the visit, the provider performs a postpartum depression screening. Should the depression screening be charged separately from the global OB visit service?  

November 21, 2019
News & Insights

Q. We feel like a nursing staff member may be snooping at another patient’s records—and often. What’s a good first step to take?

November 20, 2019
News & Insights

Medicare overpaid providers $640,452 for chronic care management (CCM) services and may have overpaid outpatient facilities an additional $1.2 million for CCM, according to an Office of Inspector General (OIG) report released November 7.

November 20, 2019
News & Insights

Q: I read that CMS changed the scope of work for the Beneficiary and Family Centered Care Quality Improvement Organizations (BFCC-QIO) Livanta and Kepro recently. What impact has that had on hospitals?

November 19, 2019
News & Insights

The Office of Civil Rights (OCR) recently imposed a $1.6 million civil penalty against the Texas Health and Human Services Commission (TX HHSC) for a data breach that enabled unauthorized individuals to view the protected health information (PHI) of 6,617 individuals.

November 18, 2019
News & Insights

Expanded price transparency requirements are set to become reality for hospitals effective January 1, 2021. On November 15, CMS released a final rule that pushed ahead with many of the requirements originally included in the 2020 OPPS proposed rule.

November 18, 2019
News & Insights

Q: Can we bill separately for pulse oximetry?

November 15, 2019
News & Insights

Q: When a diabetic patient has arteriosclerotic peripheral artery disease (PAD), should an additional ICD-10-CM code be assigned from subcategory I70.2- (atherosclerosis of native arteries of extremities) to describe the affected vessel and laterality?

November 13, 2019
News & Insights

Q: What strategies can a case manager use to reach patients who are unwilling to accept resources?

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