hipaa.app updates, status and compliance updates
A workflow-by-workflow guide to family practice billing for administrators: who touches PHI at each handoff, which vendors need BAAs, and how to document code selection without giving clinical advice.
Carl B. Johnson
The new-vs-established determination is a records lookup that your front desk performs dozens of times a day. Here is how to build the workflow, document it, and close the privacy and vendor gaps it creates.
Carl B. Johnson
A workflow guide for administrators and billing staff on documenting, coding, and protecting charts that carry a secondary hypertension diagnosis — including the vendor and records-request exposure most practices overlook.
Carl B. Johnson
How to operationalize G2211 without inviting an audit — eligibility rules, the modifier 25 exception, documentation expectations, and the privacy and vendor obligations that come with panel-wide billing sweeps.
Carl B. Johnson
A payer audit on prolonged non-face-to-face services asks for start/stop times, not clinical opinions. Here's how to verify CPT 99358's current status, build a defensible time log, and close the vendor gaps those logs create.
Carl B. Johnson
Medicare wellness visits generate more third-party data flows than almost any other encounter in primary care. Here's how administrators run the workflow and control the privacy exposure it creates.
Carl B. Johnson
A practice-operations walkthrough of the 87636 CPT code description: how the multiplex respiratory panel moves from cartridge to clearinghouse, and which of the vendors along that path needs a signed BAA.
Carl B. Johnson
Wart destruction codes are driven by lesion count, anatomic site, and documentation — and a large share of these claims end up self-pay, which triggers a mandatory HIPAA restriction most front desks miss.
Carl B. Johnson
A prepay review letter asking for 30 charts is a coding problem and a PHI problem at the same time. Here's how to build a defensible modifier 25 workflow and close the vendor gaps it exposes.
Carl B. Johnson
A practice-operations guide to nurse visits: who documents what, how code selection gets determined and defended, and where the billing trail creates PHI and vendor exposure you have to manage.
Carl B. Johnson