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A recent study found that hospitals may see lower revenue and higher uncompensated care costs in states that implement Medicaid work requirements. States-specific Medicaid program designs may help to mitigate the potential impact, depending on how many beneficiaries lose coverage.

Q: We had a patient with hemorrhagic cystitis. Our preprocedural plan was a cystoscopy with a bladder biopsy and cauterization. How should this be reported in ICD-10-PCS? We are having trouble choosing between Control or another root operation, and we are getting different MS-DRGs depending how the procedure is reported.

According to report, at least 50 employees of Northwestern Memorial Hospital in Chicago were fired for accessing the medical record of actor Jussie Smollett without authorization.

Q: I recently filed a complaint against my insurance company. The insurance agent who handles my case informed my boss that I filed a complaint against her. Now my boss is mad at me, and I feel like my job is at risk. Is this a HIPAA violation?

A proposed rule from HHS’ Office of the National Coordinator for Health Information Technology (ONC) could mandate the publication of prices negotiated between payer and provider organizations as well as detailed information about Medicare reimbursement, DRG prices, and bundled prices.

Q: Do you have any advice for what to do when confronted with a duty-to-warn situation?

The Occupational Safety and Health Review Commission (OSHRC) affirmed an OSHA citation in a case where an employee of Integra Health Management, Inc., of Owings Mill, MD, was killed by a client with a history of violent behavior.

Q: What's the process for a fourth level Medicare appeal?

Q: Is it ever appropriate to report an E/M service on the same date of service as a scheduled drug administration service?

Rush System for Health in Chicago revealed in a recent quarterly report that the personal information of approximately 45,000 patients was compromised in a data breach.