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Patient records subpoenaed? Be careful how you answer or lose in court

01/28/2019

If a lawyer hits you with a subpoena for a patient’s protected health information (PHI), don’t panic — or you may not only violate the patient’s privacy rights under HIPAA, but also be subject to civil action under state law.

Perform hepatitis B screening at initial prenatal visit to secure optimal outcomes

01/28/2019

by: Richard Scott

Shore up the health of expectant mothers and their offspring by standardizing a process to perform hepatitis B screening during an initial prenatal visit and you’ll cut the risk of long-term disease while adding a few dollars to your accounts.

Properly document imaging even when it’s bundled into procedure code

01/28/2019

by: Laura Evans, CPC

Pay close attention to new documentation and coding guidance for radiological imaging in the 2019 CPT manual.

Be careful about Part D-covered vaccines to avoid payment issues

01/28/2019

by: Richard Scott

Question: I’m confused by vaccine coverage when some of the shots aren’t covered by my payer. For instance, I’m getting denials on tetanus vaccines. How do I know which ones are covered? And what should I do when a patient comes in needing a shot that my practice may not get paid for?

How to report, document body mass index (BMI) in ICD-10-CM

01/28/2019

by: Shannon McCall, RHIA, CCS,CCS-P, CPC, CEMC, CRC, CCDS, HCS-D

Question: Can an ICD-10-CM body mass index (BMI) code be used as a standalone code? If not, what documentation should we look for to justify the use of a BMI code?

How to manage, move suspended claims along

01/28/2019

Question: How can I identify a suspended claim? Is there anything that can be done to move a suspended claim forward?

Elevated denials dog practices reporting Medicare-covered screenings

01/28/2019

by: Richard Scott

Practices and labs report millions of Medicare-covered screening services annually, yet some of the frequent fliers see denial rates approaching 50%, according to a Part B News analysis of Medicare claims data.

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