Prior authorizations will be needed for certain hospital outpatient services starting on July 1, 2020. The change was made in the 2020 outpatient prospective payment system/ambulatory surgical center final rule. Hospitals are required to get prior authorization for the following five procedures:
As the healthcare industry continues to transition from face-to-face appointments to telehealth during the novel coronavirus (COVID-19) pandemic, reports of video conference hijacking are emerging nationwide.
Q: We have a patient that was admitted with sepsis due to COVID-19 who also has human immunodeficiency virus (HIV). How should we report this in ICD-10-CM, and which MS-DRG would this be assigned to?
Patients who leave the hospital against medical advice are more likely than other patients to be readmitted to the hospital within 30 days, adding up to a sizable and costly problem, according to a study published June 11 in the Journal of the American Medical Association (JAMA) Network Open.
This week's note from the instructor discusses how to apply the blood deductible under Parts A and B, and it looks at the coverage, billing, and payment rules unique to blood products and related services.
