Posts tagged with ""
The Welcome to Medicare visit generates eligibility checks, screening questionnaires, and third-party data flows that most practices never mapped. Here is the operational workflow and the privacy exposure underneath it.
Carl B. Johnson
Pulse oximetry looks like the simplest line item on a claim. It carries a bundling rule, a documentation habit, and a vendor trail that most practices never map. Here is how administrators handle all three.
Carl B. Johnson
A practice-operations guide to E/M coding: who touches a code between visit and remittance, what documentation an auditor will demand, and which vendors in the chain need a signed BAA.
Carl B. Johnson
Staff searching for the CPT code for an annual wellness visit usually land on the wrong code set. Here's the billing mechanics, the eligibility checks that stop denials, and the vendor and records obligations the AWV quietly creates.
Carl B. Johnson
Your reference lab bills CPT code 88175 — but your practice owns the requisition, the specimen log, the results portal accounts, and every vendor agreement in between. Here is the operational and privacy map.
Carl B. Johnson
J3420 covers the vitamin B-12 injection supply, and it generates more denials, more standing-order paperwork, and more PHI trails than almost any other line item in a primary care practice. Here's the operational and privacy workflow.
Carl B. Johnson
Transitional care management runs on two clocks and a paper trail. Here's how to assign the 99495 workflow across your staff, document it for audit, and cover the discharge-data vendors it pulls into your practice.
Carl B. Johnson
Cognitive and memory findings create a coding problem and a privacy problem in the same encounter. Here is how to run code selection, records requests, family disclosures, and vendor oversight without improvising at the front desk.
Carl B. Johnson
The 99201 CPT code has been deleted since January 1, 2021, yet it still appears in superbills, EHR favorites, self-pay price lists, and archived claims. Here's how administrators clean it out and handle the records and vendor exposure it leaves behind.
Carl B. Johnson
POS 22 signals an on-campus hospital outpatient setting — and it changes your reimbursement, your chart ownership, and your vendor list. A workflow guide for practice administrators and compliance leads.
Carl B. Johnson