Posts tagged with ""
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
A practice-operations walkthrough of the 83013 CPT code description: who performs the analysis, what your CLIA certificate must cover, which vendors touch the result, and where the BAA gaps show up.
Carl B. Johnson
A workflow guide for administrators and billing staff on documenting, routing, and protecting the records behind knee injection claims — including the vendor and BAA exposure most practices miss.
Carl B. Johnson
Developmental screening billed under 96110 creates PHI before the visit even starts — on tablets, in vendor scoring portals, and in text-message links. Here's the operational and privacy workflow your practice needs.
Carl B. Johnson
Suture removal looks like a two-minute visit and bills like a minefield. Here's how practices sort global periods, code selection, outside records, wound photos, and the vendors that touch the claim.
Carl B. Johnson
A B12 shot takes ninety seconds and generates two code lines, a supervision question, a payer coverage check, and a paper trail that can disclose a diagnosis to the wrong household member. Here's the operational workflow.
Carl B. Johnson
An operations guide to the 99211–99215 family: who decides the level, what documentation supports it, how to answer a payer audit without over-disclosing, and which vendors in the billing chain need a BAA.
Carl B. Johnson