Q: When a physician needs to certify an inpatient stay of 20 days or more, do we need to use a specific form for the certification? Or can we submit other documentation such as the physician's notes from the medical record?
CMS is expanding Medicare coverage of next-generation sequencing (NGS) to diagnose certain types of ovarian and breast cancer, according to a January 27 decision memo.
Healthcare providers are using ICD-10-CM Z codes at an increasing rate to document social determinants of health (SDoH), according to a new report from CMS.
Q: How do we bill for services when our utilization review (UR) team determines postdischarge that an inpatient admission was not medically necessary? Are these services billed as outpatient or inpatient?
Several Medicare claims for trastuzumab mutli-dose vials billed over the last three years failed to comply with Medicare requirements in part due to the improper application of modifier -JW, according to a study reported in the January 2020 Medicare Quarterly Provider Compliance Newsletter.
Q: We are finding that physician documentation is lacking for vaping-related lung injuries at our hospital, making it hard to report the condition accurately. What can our coding team do to remedy this situation, and how do we accurately report vaping-related lung injuries in ICD-10-CM?
Q: In OCR's $3 million settlement with Touchstone Medical Imaging, one of Touchtone's FTP servers allowed uncontrolled access to patients’ PHI. This permitted search engines to index the PHI of patients, which remained visible even after the server was taken offline. What missteps can providers avoid in this arena?
