Modifier -22 indicates that the procedural work performed by the provider or surgeon was substantially greater than what is typically required. The application of this modifier allows providers to receive additional reimbursement for a procedural service that was especially challenging, time-consuming, or unusual.
CMS issued a waiver on March 13 designed to help hospitals and other healthcare facilities better respond to the surge in demand placed on them by the COVID-19 pandemic. The waiver allows CMS to bypass traditional rules, including Conditions of Participation when necessary, and aims to help organizations move patients through levels of care more quickly to free up needed hospital beds for critically ill COVID-19 patients.
Q: Do you know if offices have any tablets or computers people can use in which they might log into an account? If so, are there rules governing password retention or auto logouts they need to consider?
This week's note from the instructor looks at the timing of the prior authorization program implementation in light of the current COVID-19 public health emergency.
Coders can raise the flag for the risk management department by signaling unexpected patient care occurrences, such as a nicked organ during surgery. Use this sample occurrence report form as a template for your organization.
Q: The use of telemedicine and telehealth has expanded dramatically during the COVID-19 pandemic. What should case managers be aware of when determining the most viable telemedicine options for patients?