Posts tagged with ""
A practice-operations walkthrough of how diabetic foot exam CPT and HCPCS claims get built, documented, and audited — and the BAA, gap-list, and records-request exposures that ride along with them.
Carl B. Johnson
What the 87426 CPT code describes, how practices verify CLIA scope before billing it, and the vendor, public health reporting, and results-delivery obligations that come attached to in-house antigen testing.
Carl B. Johnson
A walk-in with staples from another hospital triggers a coding decision, an outside-records request, and at least two vendor exposures. Here is the operational workflow for administrators and billing staff.
Carl B. Johnson
There is no ICD-10-CM code titled "personal history of hypertension." Here is how practices handle the gap operationally — and why the answer touches your problem list, your release-of-information desk, and your vendor contracts.
Carl B. Johnson
A practice-operations guide to how well-woman visits get abstracted, billed, and disclosed — including the statement, EOB, chaperone, and vendor exposures that follow a single line on the claim.
Carl B. Johnson
Skin tag removals look like small encounters and generate outsized administrative risk: cosmetic-versus-covered determinations, ABNs, clinical photographs, and a vendor chain nobody inventoried. Here's the operational workflow.
Carl B. Johnson
A single RSV dose touches your EHR, clearinghouse, state registry, inventory system, and recall vendor within minutes. Here is how practices document code selection and control the privacy exposure that follows.
Carl B. Johnson
The 99215 RVU drives payment, provider compensation, and payer scrutiny at the same time. Here is how administrators verify the value each January, document code selection defensibly, and close the BAA gaps a coding audit exposes.
Carl B. Johnson
A practice-operations guide to pre-procedural clearance encounters coded with Z01.818 — documentation, role assignments, records routing to surgical facilities, and the vendor agreements that traffic requires.
Carl B. Johnson
There is no standalone CPT code for a vaginal exam. Here is how practices actually determine and document code selection for pelvic and vaginal examinations — and the privacy, records, and vendor obligations that ride along with the claim.
Carl B. Johnson