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Q: If a patient is seen for a pressure ulcer on the foot related to diabetes, would you report a diabetes diagnosis code? If surgical debridement is performed and the patient receives treatment for their diabetes, can you charge for both an office visit and debridement?

What questions can case managers ask to determine health literacy?

What are some of the key differences between a centralized and decentralized approach to patient access staffing?

CMS recently clarified the use of modifier -KX (requirements specified in the medical policy have been met) in response to an Office of Inspector General report that identified conflicting guidance that resulted in $4.6 million in improper payments.

CMS released One-Time Notification Transmittal 2055 on April 27 to ensure discharges to hospice care comply with the Bipartisan Budget Act of 2018.

How can case managers ensure they are effectively capturing discharge details during rounds?

What factors should hospitals consider when staffing and budgeting for the patient access department?

Q: We are having trouble determining what qualifies a patient as having an acute myocardial infarction (MI) and what documentation would support the diagnosis. Can you help our coding team clarify?

The OIG will be scrutinizing how CMS collects overpayments, according to a recent update to its Work Plan. The agency will be looking at whether CMS followed recommendations to improve and increase collections.

With new attention on the care continuum, many new roles are being created to both complement the comprehensive needs of patients and ensure that licensed individuals have the opportunity to work at the top of their license.