Q: I was recently informed that providers use cellular-based tissue products to treat ulcers when a patient fails to respond to more conservative treatment options. What constitutes a failed response to treatment and how would this be documented?
This week's note from the instructor provides an overview of the Medicare Physician Fee Schedule Database and how to track any changes or updates to it.
Q: What information does HIPAA allow to be shared on a health insurance user portal if multiple family members are on the same policy? Should all individuals on the policy have separate user accounts?
CMS modified its proposal to expand prior authorization and step therapy to protected classes of drugs for Part D and Medicare Advantage beneficiaries, according to a final rule released May 16.
This week’s Medicare updates include a final rule on Medicare Advantage drug pricing, the quarterly update for HCPCS drug/biological codes, an update to claim status and claim status category codes, and more!
Adriane Martin, DO, FACOS, CCDS writes about the signs and symptoms of peripheral arterial disease (PAD) and ICD-10-PCS guidelines for reporting the condition.
