February 1, 2021
News & Insights

Q: I've noticed an increase in denials for diagnoses of gram-negative pneumonia. How can we ensure that our providers are accurately documenting the appropriate clinical indicators?

January 29, 2021
News & Insights

Q: Are there any newly implemented fiscal year 2021 ICD-10-CM codes for spontaneous cerebrospinal fluid leaks (CSF)? Can you review any background and possible new codes for this disorder?

January 27, 2021
News & Insights

The Most Favored Nation (MFN) model interim final rule should be withdrawn immediately, the American Hospital Association (AHA) said in a January 25 letter to CMS.

January 26, 2021
News & Insights

A recent survey conducted by Irdeto and Censuswide revealed that 80% of healthcare technology providers have suffered a cyberattack over the past five years.

January 28, 2021
News & Insights

Q: Are there any clauses in HIPAA that mandate the sharing of health information of a public figure (such as the president) whose health is of legitimate interest to the American public? Or do normal HIPAA rules apply for the president?

January 27, 2021
News & Insights

Q: With the novel coronavirus (COVID-19) pandemic still going for nearly a full year, case managers everywhere are experiencing feelings of burnout. How can case managers combat these feelings and remain fresh and motivated?

January 25, 2021
News & Insights

The American Medical Association (AMA) recently added a new CPT code that will be used to report a COVID-19 vaccine candidate under development by Janssen Pharmaceutica, a division of Johnson & Johnson.

January 25, 2021
News & Insights

Q: What information must be submitted to CMS to quality a patient's home as a relocated provider-based department (PBD)?

January 22, 2021
News & Insights

Q: Is there ICD-10-CM sequencing guidance for a patient who had a hemorrhagic stroke and then a seizure without a pre-existing seizure disorder? Would it be appropriate to report epilepsy, and are there any inclusion terms we should be aware of?

January 20, 2021
News & Insights

Starting July 1, CMS will reprocess affected claims to pay them at 70% of the 2019 Outpatient Prospective Payment System rate.

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