Posted and filed under Community.

On the 9th Day of Giving…

One of our interns, Brittany Hurd, has been serving on the Young Professionals Council of a non-profit called Elevate Orlando for over a year now. Through this council she has had the opportunity to plan events to help raise awareness and monetary donations for the organization, as well as work closely with the recipients that…

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Posted and filed under Community.

On the 10th Day of Giving…

One of our Quality Assurance Auditors, Melissa Jewett, and her family partake in random acts of kindness throughout the year. Most recently, they provided a meal for a homeless man. Also, they surprised a random woman in line at Dunkin Donuts drive through by paying for her morning coffee. They did this by simply asking the…

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Posted and filed under Community.

On the 11th Day of Giving…

One of our Auditors, Mary Ireland (left), participated in the “Race for Hope” hosted by Canterbury Race Track in Shakopee, Minnesota. The Canterbury Race Track, which is a horse racing track, hosts this event every year.  Derby hats were made for the event and donated by various groups/stores and individuals, to raise money for The Hope…

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Posted and filed under Community.

On the 12th Day of Giving…

One of Advize Health’s Interns, Chrissy, remains quite involved with the Special Olympics Florida- Healthy Communities Tampa Bay and recently volunteered for Fall Games 2015 Special Olympics. Chrissy and her counterpart designed and implemented a hand hygiene program for their team of athlete leaders. Their hand hygiene program will now be implemented throughout the state of Florida. …

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Posted and filed under Healthcare.

The Two Midnight Rule 2016 Exception

CMS released CY 2016 Outpatient Prospective Payment System (OPPS) Proposed Rule (CMS 1633 P). In which they propose to allow an exception to the controversial Two Midnight Rule. This proposed change is in recognition that there may be times when an inpatient admission (Part A payment) may be clinically warranted for stays that span less…

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Posted and filed under Coding, Medical Record Auditing.
claims data

Auditing Claims Data: What Can The Data Tell You?

There are many techniques to extracting data that can range from reviewing claim line billing data to actual medical record reviews. Relying exclusively on the claims data to analyze and identify atypical billing patterns or potential red flags is always challenging. As auditors we all know that the value of the audit process is only…

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Posted and filed under Coding.

How to Use Taxonomy Code Correctly

Providers with a Primary and Secondary Specialty National Government Services Every healthcare provider has at least one taxonomy code that reflects his or her specialty. Esure that your provider’s specialty is accurately represented by this. Medicare Part B providers are not required to report taxonomy codes on claims, however, National Government Services is urging providers…

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Posted and filed under Coding.

The Top 3 Things to Remember When Coding for Wound Repairs

Wound repairs require determining three separate components before selecting the appropriate CPT code: Layer – What is the depth/complexity of the wound repair? Location – Where on the body is the wound? Length – How long in centimeters is the wound repair? Layer Simple repairs are for superficial wounds that are uncomplicated and primarily involve…

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Posted and filed under Medical Record Auditing.