December 19, 2019
News & Insights

Q: If an out-of-country patient comes into our ER, must we be cognizant of his or her home country’s healthcare privacy laws?

December 18, 2019
News & Insights

Eighty-four hospitals may have received incorrect payments for discharges on or after October 1 due to errors in the hospital wage-index table published in the fiscal year (FY) 2020 Inpatient Prospective Payment System (IPPS) pricer, according to CMS.

December 18, 2019
News & Insights

Q: Do you have any advice for organizations to ensure they're meeting three-day inpatient stay requirements for discharging patients to skilled nursing facilities (SNF)?

December 17, 2019
News & Insights

The Office for Civil Rights (OCR) reached a settlement with Korunda Medical LLC, a Florida-based company, on December 11 for a potential violation of the HIPAA Privacy Rule’s right-of-access provision.

January 6, 2020
News & Insights

Q: How do we report total observation time when during the encounter the patient also received bundled services that include observation?

December 16, 2019
News & Insights

CMS recently published Transmittal 332 to inform Medicare administrative contractors and providers of new billing considerations, effective January 1, 2020, for medication-assisted treatments provided by opioid treatment programs.

December 16, 2019
News & Insights

Q: What are Medicare's requirements for applying condition code 44 to a claim?

December 13, 2019
News & Insights

Q: We have a patient who was admitted for an ablation procedure in order to treat his atrial fibrillation (AF). How should we report this in ICD-10-PCS?

December 12, 2019
News & Insights

Q: What is involved for a stepparent who lives with the legal guardian to access medical records?

December 11, 2019
News & Insights

The Medicare Payment Advisory Commission (MedPAC) reviewed two proposals to recommend an increase in hospital reimbursement in 2021, according to documents from its December 5 meeting.

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