March 20, 2020
News & Insights

Q: We are seeing an influx of possible novel coronavirus (COVID-19) patients at our facility. How can we prepare to query for COVID-19-related documentation and coding issues that are bound to come our way due to the newness of the diagnosis?

March 19, 2020
News & Insights

Q: An employee in a psychiatric hospital’s billing department sees a fellow parishioner’s name. He calls other parishioners to tell them that this individual is a patient at the hospital, and they share this information on a prayer chain. Suddenly, several hundred people know that this parishioner is a patient in a psychiatric hospital. Is this an acceptable disclosure?

March 18, 2020
News & Insights

Q: What are some of the top priorities for case managers who play roles in ensuring accurate billing at their organizations?

March 18, 2020
News & Insights

CMS announced blanket waivers of certain Medicare requirements to prevent gaps in care for beneficiaries affected by the novel coronavirus (COVID-19) public health emergency. The agency released billing instructions and a set of Q&As.

March 17, 2020
News & Insights

CMS announced March 13 that it will waive the three-day stay requirement for skilled nursing facilities (SNF) in response to the outbreak of COVID-19.

March 16, 2020
News & Insights

Q: Are lab tests included the Comprehensive APC for observation services?

March 16, 2020
News & Insights

The American Medical Association (AMA) announced Friday that its CPT® Editorial Panel expedited approval of a unique CPT code to report laboratory testing services for COVID-19. The new code supports the urgent public health need for streamlined reporting of testing for the novel coronavirus.

March 13, 2020
News & Insights

Q: What is the difference between segmental and non-segmental spinal instrumentation?  

March 12, 2020
News & Insights

Q: What are the HIPAA rules regarding disclosures of health information to a patient’s same-sex partner when the couple is not married or the partner is not considered a relative under the law?

March 11, 2020
News & Insights

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?

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