August 27, 2020
News & Insights

Q: If a person has a history of substance abuse, but at the time of admission appears to be of sound mind, is that patient’s personal representative still entitled to receive information about the patient’s treatment and status?

August 26, 2020
News & Insights

Q: As utilization review case managers, we are often tasked with assessing our hospital's risk for novel coronavirus (COVID-19) denials. What are the most important measures we should be examining?

August 24, 2020
News & Insights

Providers may need to keep track of two different times when reporting new CPT® add-on code 99XXX for prolonged services in 2021. CMS will not follow the time ranges that the AMA released in its guidelines for office E/M visits and prolonged services, according to the 2021 Medicare Physician Fee Schedule (MPFS) proposed rule.

August 24, 2020
News & Insights

Q: What should be covered in a hospital's bad debt reporting compliance policy and procedure?

August 1, 2020
News & Insights

Q: Would it be appropriate to use family psychotherapy CPT codes 90846-90849 to report therapy for the benefit one person that involves input from family members?

August 20, 2020
News & Insights

Q: If researchers want to obtain PHI for a person who died of COVID-19, what is the protocol for releasing that information? What are the HIPAA protections?

August 19, 2020
News & Insights

Q: As a case manager, part of my job is making sure my patients are capable of utilizing technology to access telemedicine. What are your recommendations for helping patients get up to speed with technology?

August 19, 2020
News & Insights

Inpatient novel coronavirus (COVID-19) claims will require a positive viral test result to be eligible for the 20% increase in the MS-DRG weighting factor, effective for admissions on or after September 1.

August 18, 2020
News & Insights

Northern Light Health, a Maine-based healthcare system, suffered a data breach in May that affected 657,392 individuals, according to the Office for Civil Rights (OCR) breach portal.

August 17, 2020
News & Insights

The AMA on August 10 announced four new CPT® codes for reporting COVID-19 laboratory testing, including two codes for reporting severe acute respiratory syndrome coronavirus 2 antibody detection. 

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