News

Q: Do we need to monitor Medicare's additional documentation requests (ADR) as part of our denials management program?

The Office for Civil Rights reached a $125,000 settlement with Allergy Associates of Hartford, P.C., in Hartford, Connecticut, after a HIPAA breach where a doctor disclosed a patient’s protected health information (PHI) to a local television reporter.  

Q: How are selective and nonselective wound debridement procedures documented in the medical record and coded using CPT?

Q: What have you seen as best practices with faxing PHI? We still rely often on faxing patient records.

Hospital price growth is falling, according to a November price brief from Altarum. In October, hospital price growth rose by 1.3% compared to October 2017, the lowest annual price growth rate since September 2017.

Q: Case management education seems to vary widely. What is the Career Knowledge Pathway?

The American Medical Association has released an enhanced interactive tool that illustrates the geographic distribution of physicians and non-physician clinicians at a state or county level.

Novitas Solutions, Inc. plans to pursue $7.2 million in intensity-modulated radiation therapy (IMRT) overpayments to hospitals in its jurisdiction, according to an Office of Inspector General report.

Q: What does a case manager need to know when helping a patient with their discharge plan?

Q: How do we manage Medically Unlikely Edits (MUE) on clinical trial claims?