February 1, 2019
Briefings on APCs

Pay close attention to new CPT documentation and coding guidance for reporting radiological imaging. For example, a new paragraph titled “Imaging Guidance” in both the surgery and medicine guidelines advises that even when imaging guidance or supervision are included in a surgical procedure code, you must still follow the radiology documentation requirements in the CPT manual.

February 11, 2019
News & Insights

Q: How is a standard paper remittance (SPR) different from an electronic remittance advice (ERA)?

February 8, 2019
News & Insights

Slack recently updated its listing of compliance certifications and regulations to include HIPAA, which suggests it may be working toward functionality that would allow healthcare providers to share sensitive patient health information.

February 8, 2019
News & Insights

Q: Can you bill CPT codes 76981 (ultrasound, elastography; parenchyma [e.g., organ]) and 76982 (ultrasound, elastography; first target lesion) at the same time as CPT codes for liver and breast ultrasounds?

February 7, 2019
News & Insights

Q: I work for a small hospital. Do we need to ask our business associates (BA) to provide us with copies of their agreements with their BA subcontractors?

February 6, 2019
News & Insights

Federal fraud watchdog agencies may be taking a closer look at Medicare Advantage in 2019, according to a recent report released by Bass, Barry & Sims, a Washington, D.C.-based law firm.

February 6, 2019
News & Insights

Q: Do the Case Management Society of America’s standards of practice still apply when using a population health approach to case management?

February 5, 2019
News & Insights

Health literacy is the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions, and the total cost of limited health literacy to the U.S. healthcare system is estimated at $50–73 billion.

February 4, 2019
News & Insights

Q: What type of claims edit data should we capturing and reviewing as part of denials management?

February 1, 2019
News & Insights

Q: Our facility is used to reporting modifier -59 (distinct procedural service), but we're not sure when modifier -XE (separate encounter, a service that is distinct because it occurred during a separate encounter) would be appropriate instead. Could you provide an example?

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