What is Risk Adjustment?

What is Risk Adjustment?

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...

Christmas ICD-10 Codes

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,...
6 Ways to Drop Your “A”

6 Ways to Drop Your “A”

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...

You’re Credentialed – So What?

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...

Coding for Tobacco Cessation Counseling

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...

5 Things You Need to Know About Becoming a CPC

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...

2017 UDT Codes Refresher

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...