by Advize Admin | Oct 18, 2017 | Coding, Medical Record Auditing, Payers
In honor of Breast Cancer Awareness Month, we’ve decided to release a brief reminder to not only schedule a routine mammogram, but to recall the 2017 Mammogram Coding Changes. Mammography Coding The Centers for Medicare and Medicaid Services (CMS) announced in...
by Advize Admin | Aug 31, 2017 | Coding, Medical Record Auditing
As of January 1, 2017, providers who administer controlled substance testing should apply the proper and most current guidelines for L35724 – Controlled Substance Monitoring and Drugs of Abuse. Best Practices Ensure that services and procedures reported on submitted...
by Advize Admin | Jul 12, 2017 | Coding, Medical Record Auditing, Payers
Coding Modifiers In the English language, a modifier is used to describe the who, what, how, why, and/or where of a situation. Coding modifiers perform the same role for medical coders and billers. These types of modifiers further describe procedure codes without...
by Advize Admin | May 31, 2017 | Coding, ICD-10
Just when you thought it was safe, the World Health Organization has announced that the International Classification of Diseases is undergoing the 11th round of revisions. ICD-11 is scheduled to be finalized for presentation to the World Health Assembly by 2018, and...
by Advize Admin | May 25, 2017 | Coding, YouBeTheCoder
Assess your knowledge of Evaluation and Management while taking our free E/M Calculator for a test drive! Review the below patient notes and plug the appropriate information into our audit tool. History of Present Illness (HPI) Patient is complaining of chest pain...
by Advize Admin | May 15, 2017 | Coding, Compliance, FWA, Healthcare
Law firms have been known to enlist the help of a third-party when dealing with healthcare fraud cases. This is because in addition to investigating the allegations against one party, there is a myriad of additional pre-litigation considerations. In multi-faceted...
by Advize Admin | May 12, 2017 | Coding, FWA
Picture yourself balancing on top of a fence with vast expanses of land, each with their own set of governance, visible to you from both sides. You’re straddling the fence, your legs occupying each of the divided spaces. Where do you stand? It depends on which way the...
by Advize Admin | Apr 26, 2017 | Coding, Cybersecurity, Events, Fraud, FWA
Advize Health kicked off the month of April by diving headfirst into Conference Season, and attending the Eastern Claims Conference in Boston, MA. The Eastern Claims Conference, recently relocated from New York to Massachusetts was an impressive assembly of insurance...
by Advize Admin | Apr 24, 2017 | Coding, Compliance, Cybersecurity, Fraud
If healthcare was a chemical solution, and relevant technologies were solutes – the mixture would quickly become a fragmented clump of, well…various technologies. The healthcare market is over-saturated with technology designed to “fix” the present problems plaguing...
by Advize Admin | Mar 17, 2017 | Coding, Compliance, Fraud
Physicians and their billing/coding staff have an established history with, and an acute awareness of upcoding and overpayments. In fact, unless they’re operating within a fraudulent billing scheme, they’re avoiding the practice of upcoding all together. Upcoding is...
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