Q: What elements need to be in the documentation to ensure complete reimbursement for skin substitute claims?
Q: If a provider documents sepsis with acute kidney injury but does not explicitly link the two conditions, should they be queried to prevent the claim from being denied?
Q: How can revenue integrity departments prevent revenue leakage through their claims management process?
Q: How has CMS addressed its erroneous revenue code edits for cardiac CT services, and how should we select revenue codes for cardiac CT now?
Q: What clinical documentation integrity (CDI) methods should be used in the outpatient setting?
Q: When a CAR-T product is being administered intrathecally via a shunt, should CPT code 61070 be reported separately?
Q: Are the time and resources spent implementing operational improvement solutions worth it?
Q: What are the elements of a valid order?
Q: When is it appropriate to initiate community health integration (CHI) services?
Q: When can we report HCPCS code G0330?