Posted and filed under Coding, FWA, Payers.

Vision vs. Medical Coverage Making You Bleary-Eyed?

Billing issues, to an extent, are expected in any physician or healthcare provider office. Most patients are in possession of both medical and vision benefits coverage, and this duality often causes confusion in ophthalmology offices. Certain procedures that are performed in an ophthalmology office should be billed as medical procedures, and do not apply to…

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

Advize Health Meaningful Use and Security Risk Analysis Webinar Recap

On March 10, Advize Health held our fifth monthly webinar on Meaningful Use and Security Risk Analysis. For this webinar, Advize Health’s auditor Melissa Jewett presented with Don Waechter from Compliance and Remediation Services, LLC. Both Melissa and Don are highly qualified to deliver such an informative webinar; as Melissa is a Certified Professional Coder…

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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 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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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 Coding.

CPT 2016 Updates Recap

New Year, New CPT Codes! CPT’s New Year’s Resolution isn’t to trim the fat, in fact, it’s expanding! New codes are being added for a variety of services as a result of data collected by the AMA. These new CPT changes are conducive to bundling services together, and to eliminate ambiguity with certain procedures that…

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Posted and filed under Coding.

The 5 Most Common HEDIS Hurdles

Health plans that want to “do” HEDIS should anticipate its common stumbling blocks — and take steps to overcome them. The following are some key hurdles that health plans face when preparing HEDIS data: What is HEDIS? When the physician staff begin to receive timely specific request (fax or phone) for certain measure data. The…

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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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