Posted and filed under Compliance, Healthcare.

The Hopeful Future of Sharing Behavioral Health Data

The Colorado Regional Health Information Organization (CORHIO) is launching a pilot program to improve patient information exchange between providers and caregivers. This program is designed in a way that once consent is given by patients, their Behavioral Healthcare Information will be shared with long term care providers and hospitals. The newly accessible documents will summarize…

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Posted and filed under Healthcare.

Patient Privacy within a Complex Eco-System

Our managing director, Jeanmarie Loria, shares the various types of data flowing through the healthcare eco-system and how it affects patient privacy. The following is an excerpt from the article: “Modern medicine has to deal with massive numbers of patients and the routes taken by patient data are often highly convoluted, complex and open to…

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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 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 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 Healthcare.

The Two Midnight Rule 2016 Exception

CMS released CY 2016 Outpatient Prospective Payment System (OPPS) Proposed Rule (CMS 1633 P). In which they propose to allow an exception to the controversial Two Midnight Rule. This proposed change is in recognition that there may be times when an inpatient admission (Part A payment) may be clinically warranted for stays that span less…

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Posted and filed under Dental, Healthcare.

Are you Tired of the Sales Pitch From Your Dentist?

Many times when going into a dentist appointment recently, dentists are always trying to sell add on dental products to the patient. Even when going in for a simple routine visit, your appointment turns into a pressured sales pitch! The add-on dental products to expect include: In office bleaching Take home bleaching 1000 different paste (Sensitivity, whitening, fluoride…) Rinses…

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Posted and filed under Coding, Healthcare.

Importance and Usage of Modifier 25

Modifier 25 Appropriate Use Modifier 25 indicates a “significant, separately identifiable evaluation & management (E&M) service by the same physician on the same day of the procedure or other therapeutic service.” Both services rendered must be significant, separate and distinct Medicare will not make separate payment unless the documentation supports significantly, separately identifiable service that…

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Posted and filed under Healthcare.

Top Oral Cancer Indicators

Oral Cancer is a growth or sore in the mouth that does not go away. Oral Cancer can be life threatening if not diagnosed or treated early. According to the American Cancer Society, men face twice the risk of developing cancer as women. Men who are over 50 face the greatest risk. It is estimated…

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