Posted and filed under Coding, Compliance, Healthcare.

Listen Up, Doc. These MACRAnyms Can Make You Money in 2017.

If you’re in the healthcare industry – you’ve heard about MACRA. The Medicare Access and CHIP Authorization Act, Medicare’s two-track payment system for physicians and healthcare providers will be implemented on January 1st, 2017. Understanding the new system and rules that comes along with MACRA’s implementation is vital for the success of physicians and hospitals….

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Posted and filed under Community, Uncategorized.

On the 1st Day of Giving…

On Tuesday, Advize Health kicked off our 2nd Annual 12 Days of Giving event with season’s greetings and holiday specials on our RN/LPN CPC Bootcamp and CPC Prep Courses. Today, we’d like to showcase the incredible acts of kindness that have been offered to the community by our team of auditors, interns, and associates. From…

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Posted and filed under Coding, Medical Record Auditing.

Overview of Colonoscopy Coding

Diagnostic Colonoscopy A diagnostic colonoscopy is a test performed as a result of an abnormal finding, sign, or symptom (such as diarrhea, abdominal pain, etc.). Factors for Consideration: Symptoms before the procedure such as a change in bowel habits, rectal bleeding, etc. Findings during the procedure (polyp, cancer, diverticulosis, etc.) Personal history of cancer or…

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Posted and filed under Healthcare.

The Future of Healthcare Embraces Telemedicine

The future of healthcare is changing rapidly, with the Affordable Care Act (ACA), an aging baby boomer population, and a predicted shortage of primary care providers, especially in remote and rural areas. As a result of the increased demand for healthcare delivery, especially in populations with limited mobility and access to quality care – telemedicine…

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Posted and filed under Coding, Healthcare.

Teaching Physician Guidelines

Billing and documentation guidelines are not the same in all 50 states. A statement such as, “I saw and evaluated the patient. I agree with the resident’s documentation,” may be acceptable in some states, but in other states, the Medicare Administrative Contractor (MAC) would consider this to be a generic attestation, and require the teaching…

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Posted and filed under Healthcare.

Forbes Healthcare Summit 2016

Last week the Managing Director of Advize Health, Jeanmarie Loria, was among those who attended the Forbes Healthcare Summit 2016. Widely regarded as the World’s Most Influential Healthcare Event, the 5th Annual Summit was held at Jazz at Lincoln Center in New York City. The overarching theme of this year’s summit was “Solving Healthcare’s Biggest…

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Posted and filed under Community, FWA.
nhcaa booth

What We Learned at Our $500 Conference Booth

Advize Health had the honor of attending NHCAA’s Annual Training Conference (ATC) in Atlanta, GA earlier this month. The ATC is widely-regarded as the most important assembly against healthcare fraud, where attendees explore fraud schemes, trends, and best practices for identification, investigation, and prosecution of fraud-related offenses. The conference, which was in operation over the…

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Posted and filed under Medical Record Auditing, Payers.

The Claims Denial Epidemic

The American Hospital Association recently released the results of a survey conducted to explore the efficacy of the RAC program in hospitals nationwide. The survey utilized the results responses submitted by 676 participating hospitals in order to explore the program’s impact in the second quarter of the year 2016. The results suggest that while Medicare…

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Posted and filed under Coding.

‘Tis the Season…For Proper Coding

We’ve all seen cute memes on Facebook as we scroll through our timeline; “Bitten by A Vampire? There’s a code for that!” ICD-10 S10.87XA. “Overdose on turkey? There’s a code for that!” ICD-10 E70.5 or R63.2. “Grandma got run over by a reindeer? There’s a code for that, too!” ICD-10 V06.00XA. The list goes on…

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Posted and filed under Healthcare, Payers.

Payers Push for Stronger Prescription Cost Control

Over the years, healthcare costs have continued to skyrocket for consumers and providers alike. It is a well-known fact that the United States spends considerably more on healthcare costs than any other country in the world.  In fact, the United States spends 50 percent more than the next-highest spender-which is about $9,086 per U.S. citizen….

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