by Advize Admin | Feb 2, 2018 | Events, FWA, Medical Record Auditing
Advize Health’s first webinar of the new year will be broadcasting live today from 2:00PM EST until 3:30pm EST. The program will break down the 2018 OIG Work Plan and provide an in-depth examination at the OIG (Office of Inspector General) and their efforts in the...
by Advize Admin | Jan 22, 2018 | Compliance, Fraud, FWA, Healthcare, Medical Record Auditing
For years, whenever we began launching a medical record review project, clients and physicians alike would ask us the same question: Why can’t you come onsite to pick up the requested records? The easy answer would have been to say that we simply hadn’t performed...
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 20, 2017 | Compliance, Medical Record Auditing
To a physician, providing authentication may appear as yet another inconvenience or hindrance to productivity in the midst of the already chaotic audit process – but it’s the difference between being reimbursed and having your claims denied. For the purpose of a...
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 | Jul 6, 2017 | Compliance, Medical Record Auditing
Tackling a project as intricate as Medical Record Retrievals may seem daunting – and it is, but you can still make it through unscathed. Perhaps your firm was enlisted by an attorney, health plan, or medical auditing organization to retrieve medical records directly...
by Advize Admin | Mar 23, 2017 | FWA, Medical Record Auditing
If you were an attendee at last month’s webinar on arbitration and litigation support for medical coders and auditors, you’re aware of the fact that legal support is a growing need in the healthcare industry. It may come as no surprise given the alarming numbers...
by Advize Admin | Jan 9, 2017 | Coding, Medical Record Auditing
If you’re reading this article, chances are you already know what HCC Coding is – but we’ll give you a refresher anyway. Hierarchical Condition Category (HCC) and Risk Adjustment Coding is a CMS-mandated payment model. This particular model works to identify those...
by Advize Admin | Dec 20, 2016 | Coding, Medical Record Auditing
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...
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