Posted and filed under Compliance.

Compliance Corner: August

Define the principle of “minimum necessary”? Answer: a covered entity must make reasonable efforts to use, disclose and request only the minimum amount of PHI needed to accomplish the intended purpose of it’s use

Posted and filed under Coding, Healthcare.

Enlight-10-ment: August

Digestion of Digestive Codes The digestive system is made up of the gastrointestinal tract. Digestion begins in the mouth with chewing the food, and ends in the small intestine; its unique function is to breakdown and process the food we eat, while removing unused products for waste disposal. The body then absorbs these smaller particles…

Read the full article

Posted and filed under Careers, Coding, Medical Record Auditing.

Why you Should Consider a Career as an Auditor

As Advize Health continues to hire part-time and full-time remote Auditors, we felt it necessary to inform you of the reasons why you should consider a career in auditing and its benefits. Some of the perks you can enjoy as an auditor at Advize Health include: Free education with CEU’s provided through monthly auditor calls…

Read the full article

Posted and filed under Coding, Compliance, Healthcare.

How ICD-10 is Like Trying to Eat an Elephant in One Bite

This past week, one of our auditors, Robert Blizzard, presented to the Central Florida Physician’s Alliance in Lakeland.  There were 7 practices represented at this particular presentation.  He was asked “ICD-10 is like trying to eat an elephant in one bite.  If you were to make 3 recommendations for practices to enact right now, what…

Read the full article

Posted and filed under Coding, Healthcare.

Enlight-10-ment: July

An Overview of the Genitourinary System The genitourinary system includes the reproductive and the urinary excretion organs. These are grouped together because of their proximity to each other. The structure of the urinary tract includes the kidneys; two ureters, which are the tubes leading from the kidney to the bladder and the urethra, which is…

Read the full article

Posted and filed under YouBeTheCoder.

You Be the Coder: July

Test your knowledge The Advanced Beneficiary Notice of Non-coverage (ABN)  A 67 year old Medicare patient comes into the office for a cosmetic skin procedure. The following day the billing office staff checked and found the reason for service was not medically reasonable as per the Local Coverage Determination. The patient had not been made…

Read the full article

Posted and filed under Healthcare.

The Realities of Snoring and its Long-Term Effects

Snoring is often laughed about, but it is no joking matter. Chronic loud snoring, waking up choking or gasping for air, and cessation of breathing while sleeping for short periods of time are common symptoms of a condition called obstructive sleep apnea.  Sleep apnea affects nearly 22 million Americans, and according to the Cleveland Clinic,…

Read the full article

Posted and filed under Coding, Compliance, Healthcare.

How to Code Transitional Care Management

Transitional Care Management (TCM) codes are used to report patients who are transitioning from inpatient hospital, observation, skilled nursing/nursing facility, or rehabilitation to the patients’ normal community settings such as their home, domiciliary, rest home or assisted living settings. The patient’s transition to a normal community setting is not the only requirement of the TCM…

Read the full article

Posted and filed under Coding, Healthcare.
health revenue

Mining for Revenue: Turning 15 Cents into an HMO Dollar

Like most clinics, your office has probably decided to accept Medicare Advantage plans by now. So what is your plan of attack? Most providers are going to say that it is time to get each patient enrolled in these plans into the office for the all-important health assessment. Most office managers are going to prepare…

Read the full article

Posted and filed under YouBeTheCoder.
people learning

You Be the Coder: June

38 year old Female presented to the office for scheduled Essure sterilization. Patient identified, local anesthesia administered and the patient was placed in dorsal recumbent position. The physician uses a speculum to open the cervix and then places the hysteroscope to carry the coils into the fallopian tubes. Multiple attempts were taken to place the…

Read the full article