February 15, 2021
News & Insights

Q: Can we use U07.1 (COVID-19 virus, identified) for suspected COVID-19 cases?

February 11, 2021
News & Insights

Q: My organization is considering outsourcing our coding to an offshore company. Does HIPAA apply only to healthcare entities and business associates located within the United States? If so, what would happen if the offshore third party experiences a breach? What are the risks associated with this decision?

February 12, 2021
News & Insights

Q: Was there an Excludes note change for subcategory G93.4- (other and unspecified encephalopathy) for fiscal year 2021? If so, how will it change any ICD-10-CM reporting and reimbursement for toxic encephalopathy and metabolic encephalopathy going forward?

February 10, 2021
News & Insights

Q: With novel coronavirus (COVID-19) concerns still persisting, patients should be avoiding emergency department (ED) visits when possible. How can case managers help in this process?

February 10, 2021
News & Insights

CMS on January 27 updated coding and billing instructions to hospitals for new COVID-19 treatments add-on payment (NCTAP).

February 9, 2021
News & Insights

The incident involved information stored in a UPMC health plan employee’s email account, per the security notice posted on UPMC’s website. UPMC says it was first notified on December 9 of a phishing incident that may have exposed protected health information (PHI) of patients

February 8, 2021
News & Insights

In its February MLN Connects newsletter, CMS reminds providers that visit complexity code G2211 is a bundled service under the Medicare Physician Fee Schedule (MPFS), meaning the application of this code will not result in additional payment for a billed E/M visit service.

February 8, 2021
News & Insights

Q: What procedures were removed from the inpatient-only (IPO) list starting January 1, 2021? What status indicators and APCs were they assigned to?

February 5, 2021
News & Insights

Q: What are spinal decompression procedures and how are they reported with CPT codes? 

February 4, 2021
News & Insights

Q: Does the HIPAA Privacy Rule prevent the sharing of electronic health information across states or jurisdictions?

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