Coding for Cardiac Catheterization

by | Jun 20, 2015 | Coding

Cardiac catheterization is a diagnostic test to examine the heart or coronary vessels or both. There are two sets of codes differentiated by examination for congenital and all other conditions. The corresponding “code map” demonstrates correct coding for noncongenital...

History of Present Illness: Severity

by | Jun 19, 2015 | Coding, Healthcare

Severity is a statement or a rating of intensity (0-10) from the patient that indicates the degree or measurement of how bad the chief complaint is. This rating not only is documented based on 0-10 scale, but it can be captured using phrases such as: worsening,...

Template to Fulfill Home Health Requirements

by | Jun 14, 2015 | Healthcare

Open door forums are being held to discuss the use of a template to aid in fulfilling the face-to-face requirement for Medicare beneficiaries receiving home health care. “In fiscal year (FY) 2014, the Comprehensive Error Rate Testing (CERT) program found that more...

Pain Management Specialty

by | Jun 13, 2015 | Coding, Healthcare

The pain management specialty has seen more than its share of coding and reimbursement changes throughout the past few years. 2015 brought another round of changes for this specialty: a major revision to a commonly used coding set, reimbursement rate changes, and...

12 Healthcare Fraud, Waste, & Abuse Facts

by | Apr 29, 2015 | FWA, Healthcare

Fraud accounts for 19% of the $600 to $800B in waste in the U.S. healthcare system annually, including everything from bogus Medicare claims to kickbacks for worthless treatments and other services. 57% of insurers expect to see an increase in fraud losses this year...
Quality Measuring Tools for Payers

Quality Measuring Tools for Payers

by | Mar 30, 2015 | Compliance, Payers

How important is quality to you? For most people, quality – which equates to a measure of excellence and meeting strict standards – is one of the most important factors in most decision-making related to consumer goods and products. Take the automobile industry;...

Greetings from HealthCon 2015!

by | Mar 27, 2015 | Events, Healthcare

This month’s Enlighten Newsletter comes to you from Las Vegas, where Advize Health is participating in HealthCon 2015, AAPC’s 23rd annual conference. If you’re at the show, be sure to follow Advize Health on Twitter and LinkedIn for updates! As a...