Posts tagged with ""
A practice-operations guide to the 36415 CPT code: how the collection charge gets documented and billed, and how the requisition, specimen label, courier handoff, and lab portal create privacy obligations most risk analyses never touch.
Carl B. Johnson
Level-five established patient visits attract payer review faster than almost any other office code. Here is the operational workflow — documentation, records release, minimum necessary, and vendor contracts — that keeps a 99215 audit from becoming a breach.
Carl B. Johnson
A practice-operations breakdown of the 99213 CPT code description — how code selection gets documented, who touches the claim, and where the privacy and vendor obligations attach.
Carl B. Johnson
A practice-operations guide to modifier 51: how the multiple-procedure reduction actually works on a claim, who owns the workflow, and which vendors touching those claims need a signed BAA.
Carl B. Johnson
A practice-operations guide to ICD-10 hypertension coding: who documents what, how the October 1 update lands, and where those diagnosis codes travel once they leave your building.
Carl B. Johnson
G2211 is a Medicare add-on code for visit complexity, not a CPT code — and the difference matters for your claim edits, your audit response, and your vendor list. A workflow guide for administrators and billing staff.
Carl B. Johnson
Hypertension codes are among the highest-volume diagnoses in ambulatory billing — which makes them a records-handling and vendor-oversight problem, not just a coding one. Here's the workflow, the roles, and the BAA gaps.
Carl B. Johnson
Remote monitoring management time still shows up in comp true-ups and payer audits three years later. Here's how to verify the 99457 work RVU, assign credit correctly, and control the vendor-held time logs behind the claim.
Carl B. Johnson
Two years after Medicare turned on payment for G2211, most practices are either underreporting it or appending it reflexively. Here's the operational workflow, the modifier traps, and the vendor and records-handling exposure that comes with it.
Carl B. Johnson
The CY2020 Physician Fee Schedule final rule set the work RVU for remote physiologic monitoring treatment management and loosened supervision rules. Here is what that means for your staffing math, your time logs, and your vendor list.
Carl B. Johnson