by Advize Admin | Mar 30, 2018 | Coding, Payers
Earlier this week, Advize Health partnered with Grassi Healthcare Advisors to host a webinar on transgender healthcare. This webinar sought out to educate the healthcare community not only on coding for transgender patients, but on every aspect of care for this...
by Advize Admin | Mar 22, 2018 | Compliance, Payers
If you’re covered by Medicare, or if your patients are covered by it – you’re about to start feeling more of the effects of The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015. Most organizations have been preparing for MACRA’s ripple effects for years,...
by Advize Admin | Feb 16, 2018 | Business, Payers
If you haven’t heard the name Dr. Jay Ken Iinuma before, you’re about to get acquainted. Iinuma is the former Medical Director of health insurance giant Aetna, and he might just be the reason yet another Aetna deal flatlines. During a recent deposition in a lawsuit...
by Advize Admin | Feb 13, 2018 | Community, Payers
Yesterday, President Donald Trump presented his $4.4 trillion FY19 budget proposal – and it looks like the Department of Health and Human Services (HHS) is going to have to tighten its fiscal belt. Trump’s proposed budget demonstrates a 21% decrease from HHS’...
by Advize Admin | Dec 29, 2017 | Compliance, Healthcare, Payers
The road to compliance is long and bumpy, but a trip we must all take in 2018. In January 2017, compliance professionals from the Department of Health and Human Services (HHS), Office of Inspector General (OIG) held an assembly in which they discussed how to measure...
by Advize Admin | Dec 21, 2017 | Healthcare, Payers
The Children’s Health Insurance Program (CHIP) is a program that has managed to gain (mostly) bipartisan support, as it provides low-cost healthcare to children in families that earn too much money to qualify for Medicaid; but its days may be numbered. The funding...
by Advize Admin | Dec 6, 2017 | Compliance, Healthcare, Payers
In an unexpected, albeit responsible move, Health and Human Services has retracted their support for a Patient Assistance Program. The Caring Voice Coalition (CVC) is a patient assistance charity that provides financial support to Medicare beneficiaries and other...
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 | 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 | Jun 29, 2017 | Business, Healthcare, Payers
Providers are still struggling to align with payers in the transition to value-based purchasing. Value-based purchasing is used to measure, report, and reward excellence in health care delivery. To properly incentivize high-quality care, value-based purchasing...
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