August 17, 2020
News & Insights

Q: What documentation elements are required to support a secondary diagnosis of malnutrition? Can the diagnosis be made based on lab results?

August 14, 2020
News & Insights

Q: We have patients being admitted for novel coronavirus (COVID-19) and most of them have a laundry list of various manifestations and complications. Do all manifestations and complications need to be reported in ICD-10-CM?

August 13, 2020
News & Insights

Q: As sports leagues attempt to make their return, many are going to be using daily COVID-19 testing as part of their protocol. Obviously, the leagues need to quarantine any individual who tests positive for the virus. But why is the covered entity that is performing the testing allowed to disclose a patient’s test results to the leagues?

August 12, 2020
News & Insights

Q: How can case managers help patients, especially those dealing with chronic diseases such as diabetes, access care during the novel coronavirus (COVID-19) pandemic?

August 12, 2020
News & Insights

CMS’ latest round of updates to its novel coronavirus FAQs on Medicare fee-for-service billing provides additional information on hospital billing for remote services, including a decision tree guiding hospitals through their options for billing for telemedicine.

August 11, 2020
News & Insights

Walgreen Co., the second largest pharmacy chain in the United States, recently reported a breach that may have involved the protected health information (PHI) of more than 72,000 individuals, according to data in the Office for Civil Rights (OCR) breach portal.

August 10, 2020
News & Insights

CMS released the calendar year (CY) 2021 Medicare Physician Fee Schedule (MPFS) on August 3, introducing 39 new CPT codes, mainly for cardiovascular services. If finalized, the new codes will go into effect January 1, 2021.

August 6, 2020
News & Insights

Q: When would it be appropriate to report CPT® add-on code 90785 (interactive complexity)?

August 6, 2020
News & Insights

Q: I have read recently about the uptick in “vishing,” or voicemail messaging scams, targeting remote healthcare workers. What are your recommendations for protecting against this type of threat?

August 5, 2020
News & Insights

Q: Beginning in July, prior authorization is needed for certain hospital outpatient services such as blepharoplasty, botulinum toxin injections, panniculectomy, rhinoplasty, and vein ablation. Going forward, how should hospitals approach this change?

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