Q: New electronic health record platforms can identify patients who are impacted by social determinants of health (SDoH), but it’s up to case managers to connect patients to resources that will help mitigate these factors. What approaches are most effective in maximizing patient engagement?
CMS provided updated coding and billing information in its Clinical Laboratory Fee Schedule (CLFS) for organizations performing tests for COVID-19 and providing treatment for confirmed or suspected COVID-19 infections.
CMS and the HHS Office of the National Coordinator (ONC) for Health Information Technology finalized a pair of complementary rules on March 9 aimed at improving interoperability and providing patients with free and secure access to their health data.
Findings from an Office of Inspector General (OIG) audit show that CHI St. Vincent Infirmary, a regional health network in Arkansas, improperly billed for 103 of 120 sampled claims related to outlier payments, which resulted in the improper billing of outliers totaling $581,136.
Q: How many hours of observation services must a patient receive before the hospital is required to provide them with the Medicare Outpatient Observation Notice (MOON)?
Q: We are seeing more fundoplication surgeries and esophageal sphincter augmentation procedures for patients with gastroesophageal reflux disease at our hospital. Do you have any tips for our coders when reporting these procedures in ICD-10-PCS?
The Office of Inspector General (OIG) will be taking a closer look at how health risk assessments influence Medicare Advantage risk scores and risk-adjusted payments, according to its recently updated Work Plan.
