by Advize Admin | Mar 11, 2022 | Compliance
Risk adjustment is a newer payment methodology that is designed to allow for a proactive approach to managing healthcare. It does not seek to audit against current claims or encounters. It is a yearly collection of diagnosis codes to accurately build a total RAF (Risk...
by Advize Admin | Dec 15, 2021 | Coding
Wew, it’s Christmas time, and you know what that means! Christmas related ICD-10 codes! Ok, ok, maybe Christmas time is about forgetting about ICD-10 codes!? But sometimes you have to remember something in order to forget it. Right? Just nod your head. Sooooo,...
by Advize Admin | Feb 21, 2020 | Coding, Fraud, FWA, Healthcare
Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive...
by Advize Admin | Nov 22, 2019 | Coding, Compliance, Fraud, FWA, Healthcare
Retired OIG Special Agent and Advize’s Director of Litigation & FWA Support will be stepping in each week to examine current fraud trends from the lens of an investigator. Stay tuned for weekly insights, updates, and information on healthcare’s most expensive...
by Advize Admin | Aug 29, 2018 | Coding
You did it. You put in the hours. You’ve tabbed your code books until they couldn’t be tabbed anymore. You completed practice questions ad nauseum. You’ve even passed your Certified Professional Coder exam. But you’re not there yet. The “CPC” credential you were...
by Advize Admin | Jun 25, 2018 | Careers, Coding
The following blog post was written by one of Advize Health’s most experienced auditors; Dawn Landry. No matter what we do in life, only experience makes us better. None of us walked, rode a bike, or swam perfectly the first time we tried. We had to invest time...
by Advize Admin | Feb 7, 2018 | Coding
Late last month, Dr. Brenda Fitzgerald, Director of the Centers for Disease Control and Prevention, announced her resignation in response to a Politico report exposing an unethical conflict of interest between Fitzgerald and the tobacco industry. The report reveals...
by Advize Admin | Jan 31, 2018 | Careers, Coding
Strategy is Key Becoming a Certified Professional Coder is no easy feat, and the exam administered by the American Academy of Professional Coders (AAPC) is a long, grueling assessment. Of course, the exam will present CPCs-to-be questions on CPT codes, Evaluation and...
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...
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