Trouble viewing? See it online! Friday, July 24, 2020
 

News
CMS releases COVID-19 data, 34% of diagnosed beneficiaries hospitalized
Source: ACDIS
CMS has released preliminary COVID-19 data derived from Medicare claims. The data shows a high-level overview of the impact of COVID-19 specifically on the Medicare population. The data confirms that seniors and those with underlying health conditions are at a higher risk of severe illness than younger, healthier individuals.
Tip of the week
According to the recently released 2021 ICD-10-CM guidelines, Code U07.1 should be assigned as the principal diagnosis if the reason for the encounter or visit is a respiratory manifestation of COVID-19. Codes for the respiratory manifestations should be assigned as additional diagnoses. Code J96.0 (acute respiratory failure) was added as another respiratory manifestation that may be coded secondary to U07.1.
 

Revenue Cycle Advisor Subscriber Content

Examining utilization review as a remote role
Source: Revenue Cycle Advisor
The novel coronavirus (COVID-19) pandemic has created challenges for case management departments. They must balance protecting the health of case management staff while maximizing productivity. In this new environment, departments are closely examining the role of the utilization review (UR) case manager.
 

Daily Q&A
Q&A: CPT reporting of diagnostic x-ray services
Source: Revenue Cycle Advisor
Q: A child presents to the ED with a closed fracture of his left hand. The physician performs a two-view hand x-ray that shows a small fracture. The physician reduces the fracture and performs a one-view x-ray to ensure alignment. Which CPT codes and modifiers would be used to report the physician’s services?

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2021 OPPS Proposed Rule: Prepare for CMS' Latest Changes

Be prepared to implement this year’s OPPS changes. During this program, expert speakers Jugna Shah, MPH, CHRI, and Valerie A. Rinkle, MPA, CHRI, will analyze the proposed rule and deliver a comprehensive breakdown to update you on the major changes proposed for 2021 under the OPPS and how you can respond.
 

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Coronavirus and Pandemic Response

Find the latest resources on preparing your facilities to respond to the ongoing COVID-19 outbreak.
 
 

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