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?

February 3, 2021
News & Insights

Q: While no one has a crystal ball, I am wondering what changes we might be expecting in the near future as the new administration makes its mark. How might case management be impacted?

February 3, 2021
News & Insights

Most off-campus provider-based departments (PBD) that claimed the mid-build exception under the 21st Century Cures Act failed to meet the requirements, according to audit results released January 19 by CMS.

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