Posts tagged with ""
A practice-operations guide to how 99213 gets selected, documented, audited, and disclosed — and the BAA, minimum necessary, and right-of-access obligations attached to every claim your office sends.
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
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
Q0091 covers obtaining and conveying a screening Pap specimen for Medicare patients. Here is how practices document code selection, survive frequency denials, and control the PHI that leaves the building with the specimen.
Carl B. Johnson
Skin biopsy billing pulls protected health information through pathology labs, couriers, results portals, and clearinghouses. Here's how administrators should map the operational and privacy workflow behind the 11102 CPT code.
Carl B. Johnson
A practice-operations guide to how clinics determine and document coding for pelvic and well-woman exams — plus the records-handling, EOB, and vendor exposures that follow every one of those claims.
Carl B. Johnson
A practice-operations guide to CPT 96375: how the add-on IV push charge gets created, who touches the documentation, and the BAA, minimum-necessary, and records-request obligations that ride along with it.
Carl B. Johnson
Preoperative clearance requests arrive by fax, portal, and phone call — and every one of them creates a coding decision, a disclosure, and a vendor exposure. Here's how to run the workflow without leaking anything.
Carl B. Johnson
What the 99223 CPT code definition means operationally for a hospitalist or specialist group — who touches the record, which vendors need BAAs, and how to build an audit response packet without over-disclosing PHI.
Carl B. Johnson
A payer audit letter arrives asking for 22 charts, all level-4 established patient visits. Here's the operational, records-handling, and vendor-contract work that sits behind every 99214 claim your practice submits.
Carl B. Johnson