Posted and filed under Dental, Healthcare.

Our Oral Health is Determined by Our Zip Code

If you were ever subjected to the unsavory fluoride treatments at the dentist as a child, you’re probably one of many who are relieved to be receiving the same dental benefits in a manner that doesn’t assault your taste buds!  Now that fluoridated water is circulating through about 75% of public water lines, the population…

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Posted and filed under FWA.

Could Healthcare Fraud Occur in my Backyard?

Many members of the Advize Health staff call Winter Park, Florida their home.  Winter Park is a historic city populated by private colleges such as Rollins College, boutique hotels with enviable veranda views, picturesque canopies of Spanish moss, and a small number of country clubs.  If you’re picturing a painted sky illuminating a boat launch…

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Posted and filed under FWA.

Does Incident-To Have You Perplexed?

Stringent billing guidelines and regulations are often instituted to limit the incidence of fraud, waste, and abuse (FWA). Specificity increases annually, providing a well-developed outline for physicians and billers. Revisions to billing procedures are designed to help all facets of the healthcare industry. An example is incident-to billing, which was introduced to address the trend…

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Posted and filed under Events.

Advize Health Risk Adjustment Coding Webinar Recap

This past week Advize Health held our third webinar. Presenter Robert Chacon, one of Advize Health’s Auditors, spoke about Risk Adjustment Coding. Robert is a Certified Professional Coder with AAPC ICD-10 and Medical Coder certifications, specializing in HEDIS and HCC. Throughout the webinar, Robert focused on defining the different types of Risk Adjustment Coding, educating…

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Posted and filed under FWA.
Posted and filed under Coding, Healthcare.

Critical Care and What it Means

CPT Defines critical care as the direct delivery, by a physician(s) or other qualified health care professional, of medical care for a critically ill or critically injured patient. A critical illness or injury acutely impairs one or more vital organ systems in such that there is a high probability of imminent or life threatening deterioration…

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Posted and filed under FWA.

Top Recent Regulatory Activities by the US Government

Recently, the U.S. Government has been undertaking regulatory activities to drive down healthcare costs and improve patient outcomes. It is crucial to keep an eye on published regulations. One of the Centers for Medicare and Medicaid Services’ (CMS) key goals is to pay claims right the first time. This means paying the right amount to…

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Posted and filed under Medical Record Auditing.

Front Lines vs. Behind the Scenes in the Medical World

The work performed by Advize Health is enacted with insurance providers and patients in mind. Protecting providers and patients from fraud, waste, abuse, and unnecessary use of money are among our priorities, and our team of auditors works hard to deliver the best results.   Every facet of coding and auditing is important, because the end…

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