Laboratory Question for the Week of March 16, 2020
MedLearn Publishing
March 15, 2020
Is code 36415 reportable for finger sticks or line draws?
Is code 36415 reportable for finger sticks or line draws?
Do you have any tips on the specific reporting requirements for code 78811?
How many pulmonary rehabilitation sessions may be reported per day?
We are performing a dialysis fistulagram that doesn’t require further intervention within the peripheral segment of the dialysis circuit. What code would I report for this circumstance and would I need a modifier?
Is the assignment of code G0480 dependent on the number of drug analytes?
If hydration is ordered for four hours before and four hours after a CT scan with contrast is performed, can we charge for the hydration hours?
The declaration comes on Friday the 13th long considered a harbinger of bad luck. Responding to the coronavirus pandemic, President Trump declared a national state
Request is to invoke emergency powers to issue an 1135 disaster and emergency waiver of certain regulations. As updates on the COVID-19 pandemic change day
Request is to invoke emergency powers to issue an 1135 disaster and emergency waiver of certain regulations. As updates on the COVID-19 pandemic change day
Costs for testing are being waived as diagnostic tests proceed. EDITOR’S NOTE: The World Health Organization (WHO) has declared that the coronavirus is now a pandemic.
Emergency spending bill signed by President Trump on March 6, paves the way for Medicare to pay for telehealth services. Outbreak of the novel coronavirus
Handshaking is being discouraged as social distancing takes effect in Washington and elsewhere. In the past week, we’ve seen three main categories of legislative reaction
Medicare regulations are complex and even seasoned professionals struggle to apply them consistently. Due to overwhelming demand, Dr. Hirsch returns for Part 2 of Ask Dr. Hirsch: Clarifying Medicare’s Most Misunderstood Rules to answer even more of Medicare’s most misunderstood questions, covering inpatient status, observation, SNF access, Medicare Advantage denials, and more. Join Dr. Hirsch as he provides clear, referenced answers to real-world questions submitted by your peers, helping you navigate Medicare compliance with confidence and clarity.
Traditional utilization management models can no longer keep pace with regulatory shifts, payer scrutiny, and operational pressures. In this webcast, Tiffany Ferguson, LMSW, CMAC, ACM, ACPA-C, introduces an Adaptive Model strategy that modernizes UM through role specialization, technology-driven workflows, and proactive, team-based processes. Attendees will learn how to restructure programs to improve efficiency, strengthen clinical collaboration, and enhance financial performance in a rapidly changing healthcare environment.
Federal auditors are intensifying their focus on inpatient psychiatric facilities, using advanced data analytics to spotlight outliers and pursue high‑dollar repayments. In this high‑impact webcast, Michael Calahan, PA, MBA, Compliance Officer and V.P., Hospital & Physician Compliance, breaks down what regulators are really targeting in IPF-PPS admissions, documentation, treatment and discharge planning. Attendees will learn practical steps to tighten processes, avoid common audit triggers and protect reimbursement and reduce the risk of multimillion-dollar repayment demands.
In this timely session, Stacey Shillito, CDIP, CPMA, CCS, CCS-P, CPEDC, COPC, breaks down the complexities of Medical Decision Making (MDM) documentation so providers can confidently capture the true complexity of their care. Attendees will learn practical, efficient strategies to ensure documentation aligns with current E/M guidelines, supports accurate coding, and reduces audit risk, all without adding to charting time.
Artificial intelligence is rapidly transforming healthcare revenue cycle operations, from coding and auditing to compliance and denials. Join industry leaders Pam Warren (MaineHealth) and Raemarie Jimenez (AAPC) for a live fireside chat exploring how AI is changing workflows, workforce roles, payer-provider dynamics, and compliance risk—and what organizations should be doing now to prepare.
Prepare for FY 2027 IPPS changes with a comprehensive 3-part masterclass covering ICD-10-CM/PCS updates, MS-DRG shifts, NTAPs, compliance risks, and reimbursement strategies.
Stay ahead of FY 2027 reimbursement changes with expert analysis of MS-DRG shifts, NTAP updates, Medicare Code Edits, and emerging technologies impacting inpatient payment accuracy.
Stay ahead of FY 2027 ICD-10-PCS changes with expert analysis of new procedure codes, revised guidelines, and high-impact updates affecting reimbursement, compliance, and inpatient coding accuracy.
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