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Late entries, addendums, or corrections should never be common occurrences. Medicare coverage guidelines dictate that physician notes are required for support of medical necessity, and this documentation must be available to the Medicare Administrative Contractor (MAC) upon request. It is strongly recommended that medical practices use proactive strategies to educate…
Comments are due by July 10, 2020. The Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2021 fiscal year was published on May 11 by the Centers for Medicare & Medicaid Services (CMS). Comments are due by July 10 at 5 p.m. Comments can be sent electronically using http://www.regulations.gov.…
The reliability of the current state of health information is extremely limited. EDITOR’S NOTE: Dr. Joseph Nichols is producing a five-part series on healthcare data for ICD10monitor. This is the fifth installment in his exclusive series. This is the last article of the five-part series on “the search for reliable health…
Two interim rules address telehealth amid the coronavirus pandemic. I’m sure everyone has heard the saying, “the only constant is change.” Well, it certainly rings true these days. The Centers for Medicare & Medicaid Services (CMS) issued a second interim final rule on April 30, offering another round of coding and documentation…
Waivers, modifiers, lab tests, multiple diagnosis codes…the layers and specifics of COVID-19 coding cannot be overlooked when ensuring appropriate reimbursement and safeguarding claims against third-party payer audits. As hospitals and healthcare organizations begin to assess the required steps necessary to prepare for the transition back to a pre-COVID-19 operating environment,…
Burnout and suicides among climate activists. In the American Medical Association’s Principles of Medical Ethics, Section 7 of 9 reads: “A physician shall recognize a responsibility to participate in activities contributing to the improvement of the community and the betterment of public health.” Of course, there are many possibilities for…
Widespread testing for antibodies is not considered screening. Screening is for identifying the disease state. People are really struggling with understanding when to apply Z11.59, Encounter for screening for other viral diseases, in relation to COVID-19. I think the issue is that we are trying to wrap our minds around…
When treating COVID-19, it is important to follow the guidance of medical professionals in using medications. There has been much speculation about using hydroxychloroquine as a treatment for COVID-19. This drug is an immunosuppressant and anti-parasitic drug that is used to treat malaria. Another name for the drug is Plaquenil.…
Fraud and abuse could soon be spreading like the coronavirus. I had strongly thought about not discussing anything COVID-19-related this week, but it is the story of 2020 so far, so I felt I had no choice. For the majority of us, it has been a tough few weeks, trying…
According to the official coding guidelines, ICD-10 code U07.1 for COVID-19 may be reported under the following circumstances: As documented by the provider; Documentation of a positive COVID-19 test result; or A presumptive positive COVID-19 test result. “Presumptive” was the description given for cases that local testing initially indicates are…
ICD-10-CM codes are not robust enough to tell the patient story correctly.   I was having a terrible time preparing for my COVID-19 coding webinar, held on the afternoon of April 29, because the current ICD-10-CM codes under the current guidelines are not robust enough to tell the story correctly.…
Ten practical steps to break the COVID-19 spell while spellbound. Most of us are working from home now. That’s quite amazing. In July 2019, a total of 4.7 million folks telecommuted, either full- or part-time. Now, according to Global Workplace Analytics, that figure could possibly be 75 million! So, what…
Managing the after-effects of coding and billing as COVID-19 cases start to move through an organization’s billing cycle, while maintaining up-to-date information, could prove challenging. With ever-changing coding and billing updates, it is difficult not to anticipate a surge of denied claims, or an increase in inaccurately paid claims, related…
The reliability of the current state of health information is extremely limited. EDITOR’S NOTE: Dr. Joseph Nichols is producing a five-part series on healthcare data for ICD10monitor. This is the fourth installment in his exclusive series. This is the fourth in a series of five articles on the search for…
Clinical judgment is sufficient for COVID-19 diagnosis. When I was a third-year resident, in 1987, I saw a really sick kid in the ED. He was about 5 years old, had a fever of 104°, and was lethargic in his mother’s arms. His eyes were swollen and infected, and he…
During quarantine, I look for every chance to be outside. During the fifteen-minute break I have between online classes, I try to get outside; I exercise and spend time with my mother outside. Right now, all we have is our home and the outdoors. We are seeing how important it…
Climate-related pre-traumatic stress disorders and other anxieties. Before we get to our next climate-related piece, we have to note that akin to the climate-related condition of solastalgia, stress and anxiety is also rampant right now due to the coronavirus pandemic, producing a double whammy of anxiety. In fact, some virologists…
Agencies have implemented legislation guaranteeing coverage of COVID-19 diagnostic testing, including antibody testing, and certain related services without cost sharing for enrollees with private health coverage. As coverages and regulations continue to broaden, often on a day-to-day basis, guidelines related to the COVID-19 pandemic frequently open up additional factors to…
The Centers for Medicare & Medicaid Services (CMS) released an update to the Coronavirus Aid, Relief, and Economic Security (CARES) Act, which was published on April 15. This update applies to Inpatient Prospective Payment System (IPPS) facilities, Long-Term Care Hospitals (LTCHs), and Inpatient Rehabilitation Facilities (IRFs). The provisions are found…
Capturing the complexity of care with CDI will be more important than ever. The COVID-19 pandemic is “hot-spotting” in places like New York City, New Orleans, and Detroit – and even as challenging as it is in those cities, this is a good thing for us, collectively. Given the nature…
NUBC guidance has been updated with the missing ICD-10-AHA code for screening: Z11.59. EDITOR’S NOTE: During recent weeks, the Centers for Medicare & Medicaid Services (CMS) has been announcing revisions to its regulatory requirements on a near-daily basis, in an attempt to ease administrative and logistical burdens on providers amid…
In practice, doctors may use these terms synonymously. We are in the midst of a COVID-19 global pandemic that is changing the world as we know it. Most COVID-19 patients may not need acute inpatient care admission. Only the sickest will. These are the patients who undergo a cytokine storm…
Many healthcare professionals use these terms interchangeably. Medical decision-making specifically refers to the complexity of establishing a diagnosis and/or selecting a management option. Medical necessity refers to the appropriateness of the service provided for a certain condition. Medical necessity determines whether the service will get reimbursed. Problems arise with training…
Swift federal action was recently taken via the Families First Coronavirus Response Act, as public and several private healthcare programs are now covering COVID-19 testing and related services. Healthcare organizations that don’t properly prepare for risk face implications in edits, improper payment, or denials.  Across the globe, health experts, governments,…
COVID-19 TalkBack follow-up.  During the Talk Ten Tuesdays weekly Internet radio broadcast last week, we received many questions which we never got to answer. I am going to share some of those answers with you now. Stacey asked, “can nurses charge for telehealth visits?” There are two parts to this…
Reimbursement has not been established at this time. The American Medical Association (AMA) CPT® Editorial Panel has revised one code and created two new codes to provide more specificity for serology laboratory testing.   The codes, which were published on April 10, are effective immediately. Reimbursement has not been established for…
As CMS continues to update their policies on telehealth during the COVID-19 pandemic and the Public Health Emergency, ICD10monitor is here to continue to keep you informed on these changes.  ICD10 University will be presenting a live Telehealth Webcast on:How To Bill Telehealth Services Under the 1135 WaiverWednesday, April 15,…
Examining the layers supporting the methodology behind social distancing. The Institute of Health Metrics and Evaluation (IHME) is an independent population health research center at the University of Washington’s School of Medicine. The IHME was recruited at a state and federal level to provide modeling in determining if or when…
The patient has COVID-19? How is the infection manifesting? You need a code for that detail. The rapidity with which our medical world is evolving is unbelievable. I know that aiming for optimal documentation is a worthy goal, but I recognize that right now, my clinical colleagues have more important…
New condition code for COVID-19 released for healthcare claims.  We are in a state of flux with information, details, instructions, and changes impacting the revenue cycle in healthcare, due to the 2019 novel coronavirus (or COVID-19) pandemic and crisis. One such change is the release by the National Uniform Billing…
Today, April 7, is World Health Day as proclaimed by the World Health Organization. On World Health Day, we would normally celebrate the advancement of policies to create health, wellness, and economic prosperity that benefits improved health status. Today, however, we live in the midst of a pandemic that is…
COVID cases worldwide approached a million in number as April began. Two new codes became effective for use on April 1; first, U07.1 (COVID-19) may be used for discharges and outpatient dates of service of April 1 and later.   This code should be used so that COVID-19 cases can be…
The new template was designed by a former ED physician. Front-line emergency departments facing an onslaught of patients suspected of contracting the novel coronavirus that causes COVID-19 now have a new tool designed to help them quickly diagnose patients. The new tool is a documentation template that can be programmed…
He is worried about his own level of exposure to the coronavirus. It is part of my job to stay informed, but I must say that I underestimated the medical and societal impact of COVID-19. From my West Virginia farmhouse, which is three hours from my Washington, D.C. apartment, I…
New E&M codes will take effect Jan. 21, 2021. Our number one priority is supporting our healthcare organizations during the COVID-19 pandemic, yet we still must be aware of changes in the way E&M codes are assigned for office visits, based on new guidelines that will take effect on Jan.…
Many healthcare professionals have had to switch to working remotely from home. The COVID-19 pandemic has impacted the lives of people around the world. Travel restrictions and new rules on large public gatherings have changed the daily routines of millions. Over the past few weeks, many healthcare professionals and my…
Latest information comes in the wake of the coronavirus pandemic. The Centers for Medicare & Medicaid Services (CMS) has published Medicare Severity Diagnosis Related Group (MS-DRG) information related to COVID-19, effective April 1, 2020. The diagnosis will be a Major Complication Comorbidity (MCC), and grouping will be dependent on the…
The reliability of the current state of health information is extremely limited. EDITOR’S NOTE: Dr. Joseph Nichols is producing a five-part series on healthcare data for ICD10monitor. This is the third installment in his exclusive series. This article is focused on that component of the health information domain related to data…
Last week, I encouraged you all to comply with the recommendations from the U.S. Centers for Disease Control and Prevention (CDC). This week, I would like to share some thoughts about how we can improve our health and maintain our sanity while working remotely and practicing social distancing. My first…
These are scary times for those working in healthcare. EDITOR’S NOTE: Dr. Erica Remer reported this story live during a recent edition of Talk Ten Tuesday. The following is an edited transcript of her reporting These are very challenging and scary times for us, especially among those of us who…
Defining Medicare’s chronic care management services. CCM services are generally non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient. These services are for patients who qualify for ongoing management and surveillance…
The U.S. healthcare system is facing a critical shortage of supplies, including ICU beds. With the rising concern over COVID-19, I decided to look at data to see what our current shortage of ICU beds could be, comparing census data in Medicare cost reports with U.S. Centers for Disease Control…
In the hope of finding a silver lining, there may be a small yet significant upside to result from the current global crisis: a focus on the importance of information sharing of health factors, as well as non-medical social factors. Throughout history, viruses and diseases have posed a threat to…
EDITOR’S NOTE: Dennis Jones is the Administrator of Patient Financial Services for Montefiore Nyack Hospital in Nyack, N.Y., about 20 miles north of New York City. During a guest appearance on Talk Ten Tuesdays this week, Jones outlined how the COVID-19 pandemic is hitting the metropolitan area as hard as…
ExtStore.AdvPoll.initResult(); How did you attend the Coordination and Maintenance Committee Meeting: jQuery(document).ready(function() { var $wrapper = jQuery('.advpoll-wrapper-54'); $wrapper.find('.advpoll-answer-graph').each(function() { var $this = jQuery(this); $this.find('.advpoll-answer-line').width(0).animate({ 'width': $this.data('percent') }, 900); $this.find('.advpoll-answer-line-percent').width(0).animate({ 'width': $this.data('percent') }, 900); }); }); Watched via webex 12% Via phone call to listen 2% Will watch on demand later…
March 23, 2020---The Centers for Medicare & Medicaid Services  (CMS) has clarified its position on the use of swing beds, saying that swing beds can accept patients without a three-day inpatient stay. In a question and answer response to the issue, CMS stated the following: Q. Does waiving the requirement…
The regulatory landscape is rapidly changing in the wake of the coronavirus. EDITOR’S NOTE: As with last week, RACmonitor asked Dr. Ronald Hirsch, vice president of R1 RCM, to summarize the most pertinent regulatory changes recently arising. The following is a transcript of his reporting today on Monitor Mondays. “First,…
The uncomfortable truth about the coronavirus pandemic? A near-total and indefinite shutdown of American life is probably just the beginning.   EDITOR’S NOTE: Veteran RACmonitor and ICD10monitor Editor and Correspondent Mark Spivey has spent the last week with his wife at their home in Monmouth County, New Jersey, working remotely…
Coordination and Maintenance committee meeting announces COVID 19 code effective April 1, 2020. The Coordination and Maintenance Committee Meeting announced that the COVID-19 code that was originally scheduled to become effective October 1, 2020 will now be effective April 1, 2020. The code that will be effective is U07.1.  The…
Ecological grief and climate-related dysphoria. In our last climate-related article and talk, we focused on both nostalgia and solastalgia. Today, we will concentrate on conditions that also connect with loss and sadness. The first is ecological grief, which is rising across the world. It is a term that can be…
A cautionary tale about the virus and its potential financial impact on patients. Here are several direct and indirect financial hits patients could see that may not be waived or covered benefit during the coronavirus pandemic.   While the Centers for Disease Control and Prevention (CDC) isn't billing for coronavirus…
The rule does not set requirements for the privacy and security of the apps and the data they contain.  The Office of the National Coordinator for Health Information Technology (ONC) and Centers for Medicare & Medicaid Services (CMS) final interoperability rules were released last week, about a year after the…
CDI will be achieved through an unrelenting focus upon attainment of clinical documentation excellence.  Clinical documentation integrity (CDI) programs are highly ingrained in most hospital and healthcare facilities. Career opportunities abound for CDI specialists who check job board sites and individual healthcare facility websites. A typical synopsis for job duties…
The two-day meeting is being held as a webcast event. The coronavirus pandemic has impacted the Centers for Medicare & Medicaid Services (CMS) Coordination and Maintenance Committee (C&M) meeting, which is scheduled for Tuesday and Wednesday this week.   The two-day meeting will now be held as a webcast- only event.…
Request is to invoke emergency powers to issue an 1135 disaster and emergency waiver of certain regulations. As updates on the COVID-19 pandemic change day by day, and the number of cases in the U.S. climbs, hospitals are starting to see the effects. In Seattle, it has been reported that…
An ICD10monitor article published in March 2015, which generated renewed interest in coding for racism, is updated in light of the coronavirus outbreak. EDITOR’S NOTE: The March 16, 2015, ICD10monitor article, “Is there a code for racism?” received an unprecedented number of searches this past week, prompting this update. London…
Many insurers are not experienced in processing claims for transgender patients. When the Patient Protection and Affordable Care Act (PPACA) went into effect on July 18, 2016, Section 1557 included a provision that prohibited most health insurance plans from discrimination based on gender identity and transgender status, under the category…
A year before CPT® rules change, payers are expected to crack down on E&M codes. Even as a major change to outpatient evaluation and management (E&M) codes looms next year, a development that would reduce the documentation burden on providers, commercial insurance companies are cracking down this year on E&M…
This is the second in a series of five articles on the search for reliable health information. EDITOR’S NOTE: This article is focused on that component of the health information domain related to the acquisition of data.    This is the most involved article of the set, because it represents the…
The federal agency has recommended that healthcare workers self-report symptoms and not work if ill. EDITOR’S NOTE: On March 5, the Centers for Disease Control and Prevention (CDC) held a call to update the provider community on the latest guidance related to COVID-19. During the call, several CDC physicians described…
The nation’s largest healthcare conference has been canceled amid the growing threat. The deadly coronavirus (COVID-19) has resulted in the cancellation of HIMSS20, the 2020 healthcare IT conference initially scheduled to take place next Monday in Florida, according to an announcement on the association’s website. “Following reports from the WHO…
There are growing fears that the spread of the disease could yield racial bias against Americans of Asian descent. EDITOR’S NOTE: The cacophony of news (and misinformation) on the deadly coronavirus is considered likely to yield racial bias and impact the mental health of America’s most vulnerable: those who are…
More changes are likely coming. As many of you have heard, there are major changes coming to evaluation and management (E&M) codes in 2021. The changes were finalized in the 2020 Physician Final Rule.  The good news is that the Centers for Medicare & Medicaid Services (CMS) gave us all…
Privacy is the right of an individual to keep oneself and one’s information concealed from unauthorized access and view by others. As the world moves to electronic health records, albeit at varying stages, health data is being used for a wider range of purposes, including improving population health, disease surveillance,…
I'm making a pitch for reciprocal education. EDITOR’S NOTE: Dr. Erica Remer reported this story live during a recent edition of Talk Ten Tuesday. The following is an edited transcript of her reporting. To set the stage, I am currently engaged in a really fun, intellectually challenging ongoing project. I compose…
Comments on the proposals set forth in Part I and Part II of the advance notice must be submitted by March 6, 2020. The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would update Medicare Advantage (MA, or Part C) and the Medicare prescription drug benefit…
The American Hospital Association has filed a lawsuit to block the rule. On Nov. 15, 2019, the Trump Administration proposed a new healthcare price transparency rule that would basically require hospitals to explain how much a medical service would cost before a patient receives treatment. This rule is due to…
It is important for coders and all healthcare professionals to know the difference, and why it matters. Intravenous therapy (IV) is quite common, administered by healthcare professionals on a very regular basis. As common as it may be, however, it's linked to an unusually high risk of potential harm to…
Cigna does sepsis right. EDITOR’S NOTE: Dr. Erica Remer reported this story live during a recent edition of Talk Ten Tuesdays. The following is an edited transcript of her reporting. As usual, Dr. Ronald Hirsch clued me into today’s Talk Ten Tuesdays topic. Several weeks ago, he told me to check…
Nostalgia, solastalgia, and climate change. In our inaugural article in this exclusive series on the impact of climate change on mental healthcare, we listed the numerous climate-related conditions that seem to be emerging. The most intriguing one of all may be solastalgia. Even the name itself may pique your interest.…
Quality of care cannot be achieved without good data. 2020 has brought us many looming changes in healthcare. Unfortunately, we have already seen increased reporting criteria, more administrative burden, and many payment cuts. As we address all of these, not only this year but also in future years, we need…
The reliability of the current state of health information is extremely limited. EDITOR’S NOTE: Dr. Joseph Nichols is producing a four-part series on healthcare data for ICD10monitor. This is the first installment in his exclusive series. The healthcare industry has spent an extraordinary amount of time, money, and effort to gather…
Understanding the ICD-10-CM Z codes is essential. On Feb. 6, RACmonitor posted an article by Ellen Fink-Samnick, a frequent contributor to ICD10monitor and Talk Ten Tuesdays. It was titled “Underutilization of ICD-10-CM Z Codes for Medicare Beneficiaries.” She reminded us that it’s been two years since we were given dispensation…
Coronavirus continues to dominate the news. EDITOR’S NOTE: This is a developing story and ICD10monitor will continue to update you on the latest development on this global health crisis. In the wake of the deadly coronavirus (nCoV), U.S. hospitals are preparing for an emergency response nationally by using the four “Ss”…
EDITOR’S NOTE: Dr. Erica Remer reported this story live during a recent edition of Talk Ten Tuesdays. The following is an edited transcript of her reporting. When I was a new physician advisor, the chief quality officer at my facility instructed me to not talk about money when discussing clinical documentation…
Medical coding errors fall into the broad categories of “fraud” and “abuse.”  Medical practices are concentrating on critical practice changes in 2020 and 2021, but it is important not to lose focus on the basics of correct coding. Don't be guilty of common CPT and ICD-10-CM coding errors, as it…
CORRECTION: This story has been corrected. There was no Meaningful Use Act. The American Reinvestment & Recovery Act (ARRA) was enacted on Feb. 17, 2009. ARRA included many measures to modernize our nation's infrastructure, one of which was the “Health Information Technology for Economic and Clinical Health (HITECH) Act”. We apologize for the…
Hospitals need to submit Medicare bad debt lists on their cost reports. I was working on a project recently, reviewing bad Medicare debts for a client. I noticed a reduction for a code I do not see a lot on a claim with Medicare primary and Medicaid secondary. It was…
Confusion and apprehension surround new guidelines for deep-tissue pressure injury. The release of the 2020 Official Guidelines for Coding and Reporting (OCG) has resulted in confusion and apprehension surrounding the intent of the new guideline related to the new ICD-10-CM codes for pressure-induced deep-tissue damage, or deep-tissue pressure injury (L89.-6).…
Coronavirus is now a global public health emergency. EDITOR’S NOTE: This is a developing story and ICD10monitor will continue to update you on the latest development on this global health crisis. The World Health Organization (WHO) declared the novel coronavirus a global public health emergency on Jan. 31. As of Feb.…
Case study proves the need for physicians to be members of the CDI team. Having a strong denials management team is critical for facilities. If providers do not leverage proper resources to generate strong appeal letters, the third-party payers will uphold their decisions to remove or change diagnosis or procedure…
The symptoms for CTE include depression, anxiety, explosive anger, suicidal thoughts, and actions. Today, millions of people are looking over their shoulders. They are doing so because they are being stalked. They are being stalked by their own brain. Their brain is thinking about chronic traumatic encephalopathy (CTE). Sadly, as…
The number of conditions a patient has is now going to factor into the risk adjustment score (RAS). EDITOR’S NOTE: Dr. Erica Remer reported this story live during the January 21 edition of Talk Ten Tuesdays. The following is an edited transcript of her reporting. In March, I make my…
Prior authorization is mostly a manual process.  Prior authorizations are not going anywhere anytime soon, but drastic changes on how they are handled may finally be on the horizon. An April 2018 study from the Government Accountability Office found that Medicare prior authorization programs saved the program between $1.1 billion…
In the continuous pursuit of improved efficiencies, can single-source coding be a solution? As organizations continue to evaluate the most efficient and cost-effective ways to streamline operations, there is increasing movement toward single-source physician and facility emergency room coding. This has proven to be a successful endeavor for many organizations,…
Coronavirus is spreading. EDITOR’S NOTE: This is a developing story and ICD10monitor will continue to update you on the latest development on this global health crisis. As of Jan. 27, eight cases of a novel coronavirus (2019-nCor) have been reported in the United States. The outbreak that started in Wuhan, China…
More than 4,000 cases were coded in the 2019 contest focused on outpatient coding. ICD-10 is well-established, and we are already discussing and planning for ICD-11. However, where are the long-anticipated and promised increased accuracy and most definitive diagnoses? At least one coding contest found outpatient coding in 2019 had…
Success can cost you more than you thought it would. You might have heard the phrase, “everyone wants to be successful until they see what it actually takes.”  While I’m not sure where the quote originates, I’ve seen it attached to various images, one of which is the feet of…
Tackling processes and departmental integration requirements for AUC will be key this year. The testing phase for the Appropriate Use Criteria (AUC) Program officially began on Jan. 1, 2020. Being as there is a purely educational and operational testing period, physicians and practitioners will not be subject to any adverse…
EDITOR’S NOTE:  Dr. Erica Remer reported this story live during the January 14 edition of Talk Ten Tuesday. The following is an edited transcript of her reporting. When I do my Case Western Reserve University documentation course, I sometimes joke about the future, when we won’t need to document because the…
Incident-to billing for advanced practice providers or APPs (nurse practitioners, physician assistants, clinical nurse practitioners, nurse midwives, etc.) has been available to limited-license practitioners since 1998, and the rules for what is required to bill incident-to are clearly defined by the Centers for Medicare & Medicaid Services (CMS). Yet this…
Seven coding challenges reveal a new compliance landscape in 2020. It’s here: 2020! This past year in healthcare, as in many years before, was full of changes, challenges, and some surprises as well. When trying to foresee the key future challenges in clinical coding, the following topics came to mind…
Improper DRG payments in 2019 demonstrate the urgency for CDI leadership to address issues. The 2019 Medicare Fee-for-Service Supplemental Improper Payment Data Report was recently released, showing marked improvement in the Medicare improper payment rate from 2018. This year’s overall improper payment rate came in at 7.3 percent, equating to…
EDITOR’S NOTE: Anyone who has viewed the wildfires in Australia knows why it has been called the “canary in the coal mine” of climate change. No wonder that Solastalgia was discovered there. As the ever-increasing carbon is being emitted from the world’s coal mines and other fossil fuel sources, life…
Emergency release of the new EVALI code by CDC. On Dec. 9, 2019, the Centers for Disease Control and Prevention (CDC) published additional guidance regarding e-cigarette/vaping associated lung injury (EVALI). The new code is U07.0 (Vaping-related disorder).     The CDC consulted with the World Health Organization (WHO) regarding an addition to…
New Year’s thoughts and reflections. The holidays are times for people to connect with loved ones, including family and friends. I would ask that during this holiday season, please look out for our adolescents.    In October 2019, the Public Broadcasting Service (PBS) published an article indicating that suicide is the…