Posts tagged with ""
A payer audit of tendon sheath injection claims pulls in notes, injection logs, ultrasound images, and three vendors you forgot about. Here's how to run 20550 cleanly from documentation through records release.
Carl B. Johnson
Chronic care management billing runs on time logs, consent records, and a care plan that lives in your chart — and usually on a vendor who touches all three. Here is how to run it without creating a records or BAA problem.
Carl B. Johnson
A practice-operations guide to CPT code 99386: the pre-visit checks your front desk runs, how documentation gets split when a problem comes up, and the privacy and vendor exposure a preventive visit creates.
Carl B. Johnson
CPT 99080 covers special reports and forms — the paperwork basket that quietly generates unbilled labor and PHI disclosures. Here's how to run the workflow, set fees, and keep your vendors covered.
Carl B. Johnson
The QW modifier signals a CLIA-waived test on a Medicare claim. Here's the operational workflow, the certificate records your practice has to keep straight, and the vendor and privacy exposure that point-of-care testing creates.
Carl B. Johnson
A walk-in with sutures from an out-of-state ED creates a coding decision, a records request, and at least three vendor touchpoints before lunch. Here's how to run that workflow without leaking PHI or writing off the visit.
Carl B. Johnson
The N94 dysmenorrhea codes move through your clearinghouse, your billing vendor, and onto a policyholder's EOB. A practice-operations guide to coding workflow, records requests, and vendor contracts.
Carl B. Johnson
What administrators and billing staff need to know about the 99214 CPT code description — how level selection is documented, how payer audits pull charts, and which vendors touching that documentation need a BAA.
Carl B. Johnson
HIPAA gives your practice 30 calendar days to fulfill a patient's request for their record, plus one 30-day extension with written notice. Here's the operational workflow, the fee rules, and the evidence you need on file.
Carl B. Johnson
A practical walkthrough of the HIPAA right of access for practice owners and privacy officers: the 30-day clock, what you may charge, the only lawful denial grounds, and the documentation OCR asks for when a patient complains.
Carl B. Johnson