Q: I have been tasked with implementing a charge capture/revenue integrity program. I would appreciate any suggestions or tips that anyone is willing to share to assist me in beginning this process—where to start, who to include, and how to be successful with this challenge.
Q: Is there a national standard for what documentation must be submitted to Medicare Administrative Contractors (MAC) when requesting prior authorization?
Q: Can a hospital bill for a nutritionist and a dietitian deliver diabetes self-management training (DSMT) via telehealth on a UB claim? Nutritionists and dietitians are on the list of distant site practitioners, although registered nurses are not.
Q: As our organization provides telephone and telemedicine encounters for services, we are considering using Q3014 for our provider-based departments in addition to the professional E/M. Does anyone have any experience with this code? If provider-based, are you applying this to a UB and the professional E/M to a 1500?
Q: Is there a condition code or process we can perform on a corrected claim to show that an inpatient readmission within 30 days is not related to the previous inpatient claim?
