June 7, 2019
News & Insights

Q: A physician orders a comprehensive metabolic panel (CPT code 80053) and an additional quantitative blood sample to measure blood glucose level (CPT code 82947). Would the physician report modifier -91 (repeat clinical diagnostic laboratory test) or -59 to indicate that the blood sample was performed separately from the panel?  

June 6, 2019
News & Insights

Q: I am a college student who had to miss three days of classes because I was ill. One of my professors needed proof that I was too ill to attend class. When I asked the health center for a note, they said it would be a HIPAA violation to provide any details about my illness. Were they right?

June 5, 2019
News & Insights

The new instructions replace those issued via the April update to the Outpatient Prospective Payment System.

June 5, 2019
News & Insights

Q: Can you point me toward opportunities for doing case management work in ambulatory care?  

June 4, 2019
News & Insights

A new report by the Department of Population Health at NYU Langone Health sets out a framework for community and population health management plans to guide efforts to address the social determinants of health and improve health quality in clinical and geographic populations.

June 3, 2019
News & Insights

CMS released the fiscal year (FY) 2020 ICD-10-PCS changes on Friday, May 31, which include two code revisions, 734 additions, and 2,056 invalidations.

June 3, 2019
News & Insights

Q: Do we need a steering committee for our denial management and avoidance programs? What would be the role of a steering committee?

May 31, 2019
News & Insights

The HHS Office for Civil Rights (OCR) issued a new fact sheet last week that clarifies the circumstances under which OCR may hold business associates (BA) directly liable.

May 31, 2019
News & Insights

Q: A patient presents to the ED seeking treatment for impacted cerumen affecting both ear canals. How would you report a bilateral cerumen removal using CPT codes?

May 30, 2019
News & Insights

Q: I work in the maternity department of a hospital, and sometimes we get thank-you notes. It a HIPAA violation to post those notes in an employee-only area? They often include patient names and other personal information.

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