October 1, 2020
News & Insights

Q: Under what circumstances can a CE disclose PHI to family and friends of the patient? Does the patient always need to verbally consent to the disclosure? For example, if a patient brings a friend or family member with him or her into the emergency room, should the doctor assume that the patient is OK with the friend or family member being privy to PHI?

September 30, 2020
News & Insights

Organizations that received Provider Relief Fund payments of more than $10,000 will be required to report information on how PRF payments were used as well as  expenses related to the novel coronavirus that were not reimbursed (COVID-19), according to new HHS guidance.

September 30, 2020
News & Insights

Q: When providing end-of-life care, what are some of the key strategies for case managers to consider?

September 29, 2020
News & Insights

CHSPSC, LLC, a business associate providing services such as IT and HIM to hospitals and physician clinics owned by Community Health Systems in Franklin, Tennessee, agreed to pay $2.3 million to the Office for Civil Rights (OCR) and to adopt a corrective action plan to settle potential HIPAA violations.

September 28, 2020
News & Insights

During a meeting in early September, members of the ICD-10 Coordination and Maintenance Committee proposed creating new ICD-10-CM codes related to screening, exposure, and personal history for the novel coronavirus (COVID-19). The new codes, if finalized, would take effect in January 2021.

September 28, 2020
News & Insights

Q: What changes to inpatient dialysis MS-DRGs did CMS finalize in the 2021 Inpatient Prospective Payment System final rule?

September 25, 2020
News & Insights

Q: When would it be appropriate to report modifier -58 for a procedure performed during the postoperative period?

September 24, 2020
News & Insights

Q: What are the most important elements to include in the breach notification letter?

September 23, 2020
News & Insights

UnitedHealthcare’s (UHC) plan to require in-network, freestanding and outpatient laboratory claims to contain a unique code for most lab testing services is poorly timed and poses significant implementation hurdles, the American Hospital Association (AHA) said.

September 23, 2020
News & Insights

Q: A recent study by the California Lab Policy reported 50% of unsheltered individuals experience "tri-morbidity" (co-occurring physical health, mental health, and substance abuse challenges), compared to just 2% of sheltered individuals. What can case managers do to assist these patients?

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