by Advize Admin | Nov 8, 2016 | 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...
by Advize Admin | Oct 31, 2016 | Coding, ICD-10
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...
by Advize Admin | Sep 30, 2016 | Coding, Fraud
All insurance payers are obligated to perform routine reviews of claims submitted by providers who operate under their plans. In recent years these claims examinations have gotten more rigorous, with antifraud initiatives being pushed by private health plans and those...
by Advize Admin | Aug 18, 2016 | Coding, Compliance
Please refer to our accompanying article Vaccine Administration Counseling for more information on vaccine coding and documentation. The Vaccines for Children (VFC) Program is a federally funded program that offers vaccines at no cost for eligible children through...
by Advize Admin | Jul 21, 2016 | Coding, FWA, Medical Record Auditing
A medical record audit can reveal over-payments for up-coding, incorrect numbers of units billed, and the abuse of modifiers – just to list a few. Given the popularity of such indiscretions, what is being done after the money is recovered? Do you intend on data mining...
by Advize Admin | May 10, 2016 | Coding, ICD-10
The mosquito-borne disease known as Zika Virus has been dominating headlines across the world for several months, with doctors warning high risk populations of the symptoms and signs of the disease. The initial consensus was that while the severe symptoms are...
Recent Comments