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Diagnosis codes for post-COVID-19, new social determinants of health go into effect Oct. 1

07/19/2021

by: DecisionHealth Staff

Practices will have a new ICD-10-CM code to report for post COVID-19 cases starting Oct. 1.

To avoid suit over patient violence, assess and improve security – and document it

07/19/2021

by: Roy Edroso

Legal action from a hospital resident attacked and injured by a patient is a reminder that health care employers have a legal duty to protect their workers. By documenting good-faith efforts to do so, clinics and other facilities can protect themselves, too.

Expert: Surprise billing rules’ explanation of benefits demands will prove challenging

07/19/2021

by: Roy Edroso

The rules on surprise billing that started rolling out from federal agencies in July are expected to lead to more reporting responsibilities for your practice in the coming months, a regulatory expert tells Part B News.

Mismatched BAAs and services agreements create legal snarls

07/19/2021

by: Marla Durben Hirsch

Make sure the terms in your business associate agreements (BAA) are consistent with the agreement that outlines the underlying services being provided by the business associate. If the two agreements are not in alignment and your practice later has a dispute with the business associate, a judge will likely decide which term applies, and his decision might not be in your favor.

7 steps to harmonize business associate, services agreements

07/19/2021

by: Marla Durben Hirsch

Inconsistencies between a business associate agreement (BAA) and the underlying services agreement it relates to can create legal headaches for your practice.

Incorporate social determinants of health into risk calculations

07/19/2021

by: Julia Kyles, CPC

Question: The medical decision-making table for office E/M visits (99202-99215), includes “Diagnosis or treatment significantly limited by social determinants of health” as one example of moderate risk. When can we count that toward a patient visit?

Numbers show public concern with surprise billing made new regs inevitable

07/19/2021

by: Roy Edroso

The new and upcoming rules related to surprise billing promise big changes for the health care industry, but as you can see from a series of figures from the Kaiser Family Foundation first published on Feb. 11, 2020, the issue had penetrated the consciousness of a large number of Americans and become a political issue that could hardly be ignored.

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