Posted and filed under Coding, Community.

The Importance of Professional Collaboration

The ecosystem of a professional environment is truly the sum of all its parts.  Effort from all members of the workforce community creates a feedback loop that is essential to a thriving business.  The mechanics of this infrastructure will then branch out, making contributions that feed surrounding ecosystems.  For Advize Health, our ecosystem revolves around…

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Posted and filed under Events.

Advize Health Prepayment and Postpayment Reviews Webinar Recap

This month Advize Health held our fourth webinar. Presenter Melissa Jewett, one of Advize Health’s Auditors, spoke about Prepayment and Postpayment Reviews. Melissa is a Certified Professional Coder with AAPC ICD-10 and Medical Coder certifications, specializing in Quality Assurance. Throughout the webinar, Melissa focused on the procedure, rationale and historical context of plans rolling out pre and/or…

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Posted and filed under Events.
Posted and filed under Medical Record Auditing.

The Importance of Medical Necessity in Medical Coding

Medical necessity documentation, or lack of it, is one of the most common reasons for claim denials. For a service to be considered medically necessary, it must be reasonable and necessary to diagnosis or treat a patient’s medical condition. When submitting claims for payment, it is the diagnosis codes reported with the service that tells…

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Posted and filed under Healthcare.

An Advize Valentine’s Day Story

Advize’s Client Project Manager, Christina Martin, had a Valentine’s Day experience that she would like to share. The following is her story: Some of you may think of Valentine’s Day as chocolates, flowers and relationships. For me, I think of it differently. One year ago I was telling my sister-in-law that I had not had…

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Posted and filed under Healthcare.

What Constitutes “Supervision” of Diagnostic Tests?

If you work in healthcare, it is assured you’ve heard the term supervision a lot. Non-Physician Practitioners are supervised, Physician supervised services, general supervision, direct supervision, personal supervision. In the suite, out of the suite, counter signature. These are elements of supervision, and are exactly what adds to the layers of confusion regarding supervision. Special…

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Posted and filed under Coding.

Super Bowl Sunday 2016

This Sunday thousands upon thousands of football fans will fill the seats of Levi’s Stadium in Santa Clara, California to watch the Denver Broncos face the Carolina Panthers in Super Bowl 50. While others will be enjoying the game from their couches and barstools – all eyes will be on the battling behemoth quarterbacks, Peyton…

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Posted and filed under Coding.

This Season’s Flu Epidemic

As temperatures continue to drop this winter season, the number of runny noses and sneezes keeps on climbing. Flu season is still going strong, persevering through the flurry of snow storms and keeping people in bed for up to two weeks at a time. If you have a child, you may hear about their classmates…

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