March 1, 2019
News & Insights

Q: For fiscal year 2019, how would a spinal fusion without any bone grafting material be reported in ICD-10-PCS?

March 1, 2019
News & Insights

University of Washington Medicine in Washington state is notifying 974,000 patients about a data breach which left their health information exposed online for weeks. This follows a recent breach announced by the University of Connecticut Health which affected 326,629 individuals in December.

February 28, 2019
News & Insights

Q: At the doctor's office where I work, patients are often friends or family members of staff. I heard in passing that my co-worker's boyfriend was coming in for an appointment later that day, when I mentioned it to the co-worker, she said she would be filing a complaint for a HIPAA violation. Is this really a HIPAA violation? 

February 27, 2019
News & Insights

Q: Can you explain the difference between patient capacity and patient competence and explain what role a case manager has in determining them?  

February 27, 2019
News & Insights

Community Hospital in Munster, Indiana, is disputing an Office of Inspector General (OIG) report that found DRG assignment errors and incorrect inpatient rehabilitation facility (IRF) claims, resulting in an projected $22,051,602 in overpayments.

February 26, 2019
News & Insights

The American Hospital Association (AHA) has launched its 2019 Innovation Challenge, which focusses this year on using technology to address the social determinants of health and connect people with resources to address community health needs.

February 25, 2019
News & Insights

Q: Can we correct and resubmit a claim denied before payment as we do claims that are sent back with a pre-payment rejection?

February 22, 2019
News & Insights

The American Hospital Association (AHA) released a letter on February 12 in response to HHS’ request for information on modifying HIPAA rules to improve coordinated care, calling for more training and education as opposed to regulatory changes.

February 22, 2019
News & Insights

Q: What is the difference between ICD-10-CM code I24.8 (other forms of acute ischemic heart disease) and code I21.A1 (myocardial infarction type 2)? In which situation would each of these codes be reported? 

February 21, 2019
News & Insights

Q: Is it a reportable breach if an entity had the ability to send encrypted email, but an unencrypted email was sent to the correct recipient because of a computer fluke or user error?

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