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Congress needs to agree on when they’ll disagree. Congress has come to an agreement…on when they plan on disagreeing. Last week, Congress appeared to have an informal, even bipartisan consensus on its legislative calendar for the next six months. For June, the House and Senate both have a full agenda,…
If you err, err on the side of the patient. Being nice can get you in trouble. But as David Glaser, Dr. Ronald Hirsch, and I have said over and over, being nice and putting patient care first should be the excuse during this COVID pandemic for future Recovery Audit…
It is the hospital’s responsibility to obtain the prior authorization.  We are two weeks away from the start of the Medicare prior authorization program, and as of June 17, the Medicare Administrative Contractors (MACs) were required to start accepting requests. As a reminder, five procedure classes will need prior authorization:…
There is no ICD-10-CM code for it.  EDITOR’S NOTE: The following article by Dr. Remer is from her recent “TalkBack” segment on the Talk Ten Tuesdays broadcast. Thinkihadittis is a condition that afflicts people who have experienced COVID-like illness, making them think they had it already. They fluctuate between exhilaration,…
EDITOR’S NOTE: Rose T. Dunn, a nationally recognized health information management (HIM) authority, two-time past president of the American Health Information Management Association (AHIMA), and COO of First Class Solutions, shows off a keen sense of humor in this column about a few silver linings of the COVID-19 pandemic.    Awoken our…
EDITOR’S NOTE: Abigail (not her real name) is a hospice nurse in San Diego. Her cousin, who she references herein, is a Chinese citizen and a resident of Suzhou, a major city located in southeastern Jiangsu Province of East China, and he contributed to this article by describing Quick Response…
EDITOR’S NOTE: Hannah is the granddaughter of Holly Louie. Holly is the compliance officer for PMI and is a longtime ICD10monitor correspondent and a frequent stand-in co-host on Talk Ten Tuesdays with Chuck Buck. Due to the pandemic, many things in my life have changed. I am a competitive horse rider…
EDITOR’S NOTE: Dalton Lambert is a recent graduate of Liberty University in Virginia, where he studied Business Administration and Biomedical Science. Lambert is currently enrolled in the Medical Sales College and plans on pursuing a career in healthcare/medical device sales upon graduation in July. Additionally, Lambert serves as an intern for…