Posts tagged with ""
A practice-operations walkthrough of how legacy "DPT" chart entries get resolved into current immunization coding — and the records-access, registry-reporting, and vendor obligations that ride along with every vaccine charge.
Carl B. Johnson
A practice-operations walkthrough of the 99491 CPT code description: who's time counts, how the monthly log becomes part of the record, and why outsourced chronic care management puts a business associate on your vendor list.
Carl B. Johnson
G0108 covers individual diabetes self-management training in 30-minute units. This guide walks administrators through referral rules, time documentation, group-class privacy exposure, and the vendor agreements a DSMT program quietly requires.
Carl B. Johnson
The clipboard at your front desk probably holds three legally distinct documents stapled together. Here's how to separate them, retain them for six years, and handle the vendor exposure that comes with digital intake.
Carl B. Johnson
A practice-operations walkthrough of the chart-to-claim path: who touches PHI at each handoff, which coding vendors need BAAs, and how to document code selection without stepping into clinical territory.
Carl B. Johnson
An operations guide to the trigger finger injection CPT code family: how coders determine and document code selection, where the modifier decisions live, and every vendor that touches the claim.
Carl B. Johnson
What the 99221 CPT code description covers, how practices document level selection under the post-2023 inpatient E/M rules, and where the PHI and vendor risk sits in a hospital-based billing workflow.
Carl B. Johnson
A two-visit tuberculin skin test creates two encounters, two documentation trails, and at least three places your practice can leak information. Here's the operational and privacy playbook for administrators.
Carl B. Johnson
E/M code selection touches your clinicians, coders, outside auditors, clearinghouse, and increasingly your ambient documentation vendor. Here is how practice administrators run the workflow and lock down the privacy exposure that comes with it.
Carl B. Johnson
Advance care planning generates a time-based billing record, a consent note, and a legal directive document — three artifacts with different retention, access, and vendor implications. Here's how to run the workflow without creating an audit or privacy problem.
Carl B. Johnson