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.

January 19, 2021
News & Insights

South County Health Alliance (SCHA), a health plan based out of Owatonna, Minnesota, reported a security breach on December 31 affecting 66,874 individuals, according to the Office for Civil Rights (OCR) breach report.

January 18, 2021
News & Insights

The American Medical Association (AMA) recently released a free tool to help clinical staff determine appropriate CPT® and HCPCS Level II coding for COVID-19 vaccines and vaccine administration.

January 21, 2021
News & Insights

Q: If a patient writes his or her email address in an illegible fashion and the provider misreads it and then inadvertently sends appointment reminders and other communication to the wrong email address, is the provider at fault? What steps can be taken to avoid such a situation?

January 20, 2021
News & Insights

Q: Telemedicine may not be the best fit for all patients. How can case managers help facilitate in-person visits for those patients that cannot engage in telemedicine visits?

January 18, 2021
News & Insights

Q: Acute respiratory failure is consistently one of our top denied diagnoses. We've tried to address common documentation errors through education but are still seeing issues. How can our CDI staff and coders create more effective queries for this condition?

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