Posts tagged with ""
G0179 pays your certifying practitioner for reviewing and signing a home health recertification the patient never attends. Here's the 60-day workflow, the documentation your MAC expects, and the PHI flows most practices never mapped.
Carl B. Johnson
POS 10 tells payers the patient was at home during a telehealth visit. That one digit changes your reimbursement, your documentation burden, and the amount of location data your practice now stores.
Carl B. Johnson
A practice-operations guide to the 99348 CPT code description: what the descriptor covers, what your billing staff needs in the note, and the device, vendor, and records-request exposure a home visit program creates.
Carl B. Johnson
A preoperative clearance request touches your schedulers, your coders, your fax line, and at least four vendors. Here is the workflow, the code-selection structure, and the disclosure limits that keep it clean.
Carl B. Johnson
A practice-operations guide to CPT code 20550: what documentation your coders need, how the drug line and modifiers get handled, and which vendors touch the claim once it leaves your building.
Carl B. Johnson
TB skin testing looks like a two-minute encounter until you trace the paperwork: a return visit, an employer results letter, an employee file that isn't PHI, and three vendors touching the data. Here's the operational map.
Carl B. Johnson
CPT billing codes are PHI the moment they attach to a patient. Here's how they move through your practice, which vendors touch them, and the HIPAA obligations that follow — restriction requests, records requests, appeals, and BAAs.
Carl B. Johnson
The code most staff search for isn't a CPT code at all. A practice-operations guide to B12 injection coding, documentation, payer rules, and the vendor exposure that comes with a high-volume injection program.
Carl B. Johnson
CPT 99459 is a practice-expense add-on code tied to pelvic examinations. Here's how administrators build the workflow, and why the documentation it depends on creates records-request and vendor exposure most practices haven't mapped.
Carl B. Johnson
A practice-operations walkthrough of CPT 90460 and 90461 — what the descriptor requires, how staff document unit counts, and every vendor that touches the resulting claim and immunization record.
Carl B. Johnson