Get maximum reimbursement for treating asthma with the right codes. Getting paid requires accurate documentation and selecting the correct codes. In our Coding Case Studies, we will explore the correct…
As healthcare organizations develop strategies to secure financial well-being during the COVID-19 pandemic, they can glean critical insights from workflow, business intelligence and denial management technologies. That was the key…
ASCs were in line for substantial growth before the COVID-19 pandemic, and while patient volumes dropped to as low as 20 percent in April, recovery has been swift and the…
When CMS issued sweeping regulatory changes on March 30 to address COVID-19 patient surge, Cleveland Clinic assembled a team of IT, coding and billing experts to help translate the new…
HIPAA’s Privacy and Security Rules specify 18 data elements that an individual could use as a means to determine a patient’s identity. The majority of this vulnerable data are easily…
CMS recently released the fiscal year (FY) 2021 ICD-10-PCS code set, which includes 544 new codes for Fragmentations of the veins and arteries, Drainages of the pelvic cavity, and Imaging…
From a compliance exposure perspective, we believe that the HIPAA risk associated with sending PHI abroad is simply untenable. HIPAA is an American law that does not extend beyond our…
Overview of Proposed Rule Today, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to amend the methodology and other requirements for the U.S. Department of Health…
The FY21 ICD-10-CM codes will be finalized this month. The Centers for Medicare and Medicaid Services (CMS) released the final FY21 ICD-10-PCS codes on May 28, 2020 which was earlier…
What you need to know about payment parity, coding, advocacy and more from our experts. Payment parity CMS’ announcement of telehealth reimbursement payment parity is a huge win for our…
Healthcare costs and healthcare payments are closely tied, but worlds apart. As the COVID-19 episode slowly winks out (for now), hundreds of millions of Americans are confused, paying higher premiums…
Did you know that the United States has over 6,000 hospitals? Unfortunately, not all of them can provide high-quality treatment due to the lack of equipment. If you’re running a…
Healthcare professionals across the globe have emerged as the true heroes of the COVID-19 crisis. Through a mission of care and compassion, they deliver urgent medical support for those battling…
The Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2021 fiscal year was published on May 11 by the Centers for Medicare & Medicaid Services (CMS). Comments are due…
HRSA is not a HIPAA-covered entity, so the official coding rules do not need to be followed when submitting claims. EDITOR’S NOTE: On this week’s Monitor Mondays, Dr. Ronald Hirsch…
Several doctors have created a guide to quickly implement an outpatient telemedicine program during the COVID-19 pandemic. The toolkit, published in the Journal of the American College of Surgeons, discusses…