CMS is seeking comments on a proposed coverage with evidence development for chimeric antigen receptor T-cell (CAR-T) therapy for relapsed or refractory cancer when prescribed by the treating oncologist.
A financial assessment may be time-consuming and difficult, as many patients are reluctant to inform the case manager of the financial risks they face, but it is critical to assisting patients meet the most basic of needs.
Q: A physician performs a hemiarthroplasty for a hip fracture. Would this procedure be reported with CPT code 27125 (hemiarthroplasty, hip, partial [e.g., femoral stem prosthesis, bipolar arthroplasty])?
Q: My child’s school requires parents to send a doctor’s note when a student is out sick for more than two days. After providing this note for my child, their teacher spoke to me and mentioned information she could only have learned if she had read the note. Is this a HIPAA violation? Are schools covered by HIPAA if they request doctor's notes?
The improper payment rate for routine venipuncture lab tests was 16.3% in 2018, representing more than $20 million, and medical necessity errors accounted 98.9% of the improper payments, according to CMS.
Geriatric patients with frequent emergency department (ED) use are more likely to have comorbidities, be admitted or transferred, and visit three or more hospitals in a year than less frequent ED users, a recently published study in the Annals of Emergency Medicine found.
