October 12, 2020
News & Insights

Q: How will CMS reimbursement providers in the Primary Care First (PCF) model?

October 12, 2020
News & Insights

The American Medical Association (AMA) released two new CPT codes October 7 for reporting antigen tests that detect the novel coronavirus (COVID-19) and influenza.

October 9, 2020
News & Insights

Q: We are having trouble with a case that involves an Implantation of a cardiac resynchronization therapy-pacemaker (CRT-P) with three leads and an envelope since our facility is new to using pacemaker envelopes. How should this procedure be reported in ICD-10-PCS?

October 7, 2020
News & Insights

Revenue integrity experts shared advice and lessons learned over the past months during day one of Revenue Integrity and Reimbursement Strategies: A NAHRI Virtual Event.

October 8, 2020
News & Insights

Q: If an individual requests an electronic copy of protected health information (PHI) and the covered entity (CE) maintains that particular record only on paper, what is the standard procedure? Can a paper copy suffice? Does the covered entity need to find a way to deliver the record electronically?

October 7, 2020
News & Insights

Q: It seems that telemedicine is here to stay, but perhaps not every patient is ready to use telemedicine. What are your best strategies for assessing a person's abilities with technology?

October 6, 2020
News & Insights

Universal Health Services (UHS), one of the nation’s largest hospital management companies, on September 27 suffered a cyberattack that resulted in the company disconnecting all systems and temporarily shutting down its network. 

October 5, 2020
News & Insights

A September audit by the Office of Inspector General (OIG) said Alta Bates Summit Medical Center in Oakland, California, incorrectly billed Medicare for inpatient and outpatient services between 2017 and 2019, resulting in overpayments of $1.5 million.

October 5, 2020
News & Insights

Q: How will CMS make payments for radiation therapy (RT) services under the Radiation Oncology Model rule?

October 2, 2020
News & Insights

Q: During an outpatient visit, a nurse reviews the patient’s medical history and a physician performs an examination in the presence of the nurse. If you adhere to the 2021 E/M guidelines and use time as the controlling factor for code selection, can you report one E/M code for these shared services?

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