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...

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,...

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...

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...

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...

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...

‘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...

Ambulance and EMS Transport Coding

The need for ambulatory services has seen an increase in recent years, and as a result ambulance transport claims have also risen. Payers generally cover ambulance services for patients whose medical condition is such that air transport is medically necessary. EMS...

ICD-10 Codes That Will Haunt You

For a long time, ICD-10 was regarded as a nightmare for healthcare providers and their billing teams. The healthcare industry “woke up” and eventually embraced the reality of ICD-10, only to be faced with another monster; MACRA. This Halloween, we’re...