October 16, 2020
News & Insights

Q: A patient with a history of hypertension sees a cardiologist for chest discomfort during exercise. The cardiologist completes an office visit and performs a cardiac stress test the same day. Would it be appropriate to report the visit using an E/M code with modifier -25?

October 15, 2020
News & Insights

Q: In many school districts, children are required to complete immunizations before beginning school. Does a healthcare provider need to obtain consent from a parent to disclose proof of the student's immunization to the school district?

October 14, 2020
News & Insights

Q: In addition to caring for patients during the novel coronavirus (COVID-19) pandemic, how can case managers help support the families of patients?

October 14, 2020
News & Insights

CMS extended the timeline for organizations to repay payments received under its Accelerated and Advance Payment program, according to a fact sheet released October 8.

October 13, 2020
News & Insights

University of Missouri Health Care (MU Health Care), a health system located in Columbia, Missouri, on September 17 reported a security incident that potentially affected 189,736 individuals, according to the Office for Civil Rights (OCR) breach report.

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?

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