Q: Our coding team is having trouble understanding the different types of chronic respiratory failure (CRF) and knowing when to suspect its presence when it’s not specifically documented by our physicians. Can you please help us with this?
The Office of Inspector General (OIG) is planning to audit hospital inpatient claims for compliance with the 2-midnight rule, according to a recent update to its Work Plan.
Q: Case managers across the country have faced challenging circumstances for the past six months, and the novel coronavirus (COVID-19) pandemic is hitting a second wave. How can case managers best cope with the added stress and pressures of the job while caring for their patients during these unprecedented times?
Timberline Billing Service LLC, a third party that provides Medicaid reimbursement billing services to 190 school districts in Iowa, reported a security incident October 30 that affected 116,131 individuals, according to the Office for Civil Rights (OCR) breach report.
The American Medical Association (AMA) on November 10 announced a handful of new CPT codes for reporting COVID-19 vaccine products and immunization administration.
Q: What place of service codes and modifiers should be reported on physician claims for wound care services performed via telehealth during the COVID-19 public health emergency?
Q: What are the essential steps when conducting a risk analysis? Are there any sample tools out there to provide guidance on best practices for risk analyses? How often should organizations be conducting these tests?
