Latest subscriber newsletter stories

Our coding experts answer questions about CPT coding for subchondroplasty procedures, reporting E/M visits with wound care services, and more.

Complex case: Navigating care for a member of a street gang

Source: Case Mangement Monthly

Rusty is a member of a street gang in his city. He joined the gang five years ago when he was 17, and still believes it was the right decision. Now at age 22, the members are like his family.

HIPAA Q&A: Patient charts outside exam rooms, social media policies

Source: Briefings on HIPAA

Q: Is it considered a HIPAA violation for facilities to keep patient charts outside of exam rooms or at a patient's bedside? Most providers prefer to have the charts handy to review just before seeing the patient. However, anyone could walk by the room and potentially get a glance at the information. Would this be considered an incidental disclosure?

ICD-10-CM reporting for sequelae of infarction, injury, and infection

Source: HIM Briefings

Correct coding of sequelae depends upon the source of the acute phase of the illness or injury. Refresh your skills with these common examples.

Note from the instructor: OIG examining use of NPIs for monitoring high-risk services

Source: Medicare Insider

This week's note from the instructor looks at the implications of a recent OIG brief on how Medicare Advantage organizations could use national provider identifiers (NPI) to monitor for fraud, waste, and abuse.

Upcoming CMS Events

Thursday, 4/29 - Medicare Part A Cost Report: Easier File Uploads for e-Filing in MCReF

Wednesday, 5/5 - Office Hours: Primary Care First (PCF) Practices

Wednesday, 5/12 - Office Hours: Primary Care First (PCF) Payers

Product Spotlight

Conquer CPT Coding for Coronary Interventions and Cardiac Catheterization

During this presentation, Sharon Jane Oliver, CPC, CPMA, CPC-I, will provide an in-depth review of cardiac anatomy, diagnostic terminology, and CPT coding for percutaneous coronary interventions and catheter-assisted heart procedures. She will discuss bundling issues that frequently result in claim denials and review the preauthorization process for cardiac catheterization services.

This week in Medicare

This week’s Medicare updates include new instructions for COVID-19 monoclonal antibody infusions, an updated list of telehealth services payable under the Physician Fee Schedule, six new items added to the OIG work plan, and more!

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