by Advize Admin | Feb 16, 2016 | Medical Record Auditing
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...
by Advize Admin | Feb 3, 2016 | Coding
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,...
by Advize Admin | Jan 13, 2016 | Coding, Healthcare
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...
by Advize Admin | Jan 13, 2016 | FWA
Recently, the U.S. Government has been undertaking regulatory activities to drive down healthcare costs and improve patient outcomes. It is crucial to keep an eye on published regulations. One of the Centers for Medicare and Medicaid Services’ (CMS) key goals is to...
by Advize Admin | Dec 30, 2015 | Coding
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...
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