Posts tagged with ""
Nurse visits generate small claims and outsized audit risk. Here is how administrators build a defensible 99211 workflow, then handle the records requests, payer audits, and vendor agreements that follow.
Carl B. Johnson
A practice-operations walkthrough of how pap smear CPT code selection actually happens — who touches the requisition, where denials come from, and which vendors in that chain need a signed BAA.
Carl B. Johnson
A practice-operations guide to how the I10 ICD-10-CM code moves from provider documentation through your clearinghouse and out to patients — and the BAA, minimum necessary, and records-request obligations that follow it.
Carl B. Johnson
Relative value units drive your fee schedule, your provider compensation model, and a data pipeline full of PHI. Here is how RVUs actually work operationally — and which vendors need a BAA before they touch the file.
Carl B. Johnson
A practice-operations walkthrough of the 99212 CPT code: how level selection gets documented, what happens when a payer requests 30 charts, and which vendors touching those claims need a BAA.
Carl B. Johnson
A practice-operations guide to running Aetna telehealth visits: eligibility verification, how staff document code selection, platform vendor agreements, and what happens when a patient requests the video-visit record.
Carl B. Johnson
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
Sore throat visits are high-volume, low-complexity, and quietly full of privacy exposure — rapid strep results, work notes, clearinghouse rejections. Here's how administrators run the coding and disclosure workflow cleanly.
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