Posts tagged with ""
The three-year lookup, the same-specialty rule, and the vendor chain that touches every new patient claim — written for administrators who answer the billing dispute and the records request that follows.
Carl B. Johnson
A practice-operations guide to the Initial Preventive Physical Examination: eligibility windows, documentation governance, patient outreach rules, and the vendor and records-handling exposure most practices miss.
Carl B. Johnson
An operations guide to the 90461 CPT code description for administrators: how component counting works, who touches the claim, and where immunization data leaks out of your practice.
Carl B. Johnson
G0101 has a frequency clock your scheduler controls, a 7-of-11 element documentation standard, and a recall list full of reproductive health data. Here's how administrators run it without generating denials or privacy incidents.
Carl B. Johnson
98007 sits at the top of the established-patient audio-video E/M family. Here's how practice administrators handle payer recognition, location fields, consent capture, recordings, and the vendor agreements a video visit quietly creates.
Carl B. Johnson
Transitional care management billing runs on a two-business-day contact clock and a 30-day service period — and it pulls hospital discharge data through vendors most practices never papered. Here is the operational and privacy workflow.
Carl B. Johnson
A practice-operations guide to the 99487 CPT code: the monthly documentation file, the one-practitioner-per-month problem, and why your care management vendor is a business associate with broad chart access.
Carl B. Johnson
Hypertension is a diagnosis, not a procedure — so the "CPT code for hypertension" your staff is searching for doesn't exist. Here's what actually goes on the claim, and the vendor and records obligations that follow.
Carl B. Johnson
B12 injection visits are short, high-volume, and often cash-pay — which makes them a coding, documentation, and privacy problem all at once. Here's how to run the workflow without creating exposure.
Carl B. Johnson
A practice-operations walkthrough of Medicare coverage for physician visits — eligibility checks, ABNs, code-selection documentation — and the privacy, records, and vendor obligations each step creates.
Carl B. Johnson