Posts tagged with ""
An operations guide to CPT code 95117 for practice administrators: shot-room workflow, documentation, denial patterns, and the PHI exposures and vendor agreements that come with running an allergy injection program.
Carl B. Johnson
How the G20 code family works in a movement disorder clinic, and where code selection collides with minimum necessary, caregiver disclosures, BAAs, and your 30-day records clock.
Carl B. Johnson
The new-vs-established determination is a records lookup that your front desk performs dozens of times a day. Here is how to build the workflow, document it, and close the privacy and vendor gaps it creates.
Carl B. Johnson
A payer audit on prolonged non-face-to-face services asks for start/stop times, not clinical opinions. Here's how to verify CPT 99358's current status, build a defensible time log, and close the vendor gaps those logs create.
Carl B. Johnson
Medicare wellness visits generate more third-party data flows than almost any other encounter in primary care. Here's how administrators run the workflow and control the privacy exposure it creates.
Carl B. Johnson
A practice-operations walkthrough of the 87636 CPT code description: how the multiplex respiratory panel moves from cartridge to clearinghouse, and which of the vendors along that path needs a signed BAA.
Carl B. Johnson
A prepay review letter asking for 30 charts is a coding problem and a PHI problem at the same time. Here's how to build a defensible modifier 25 workflow and close the vendor gaps it exposes.
Carl B. Johnson
A practice-operations guide to nurse visits: who documents what, how code selection gets determined and defended, and where the billing trail creates PHI and vendor exposure you have to manage.
Carl B. Johnson
A workflow guide for administrators and billing staff on documenting, routing, and protecting the records behind knee injection claims — including the vendor and BAA exposure most practices miss.
Carl B. Johnson
97602 is a per-session wound debridement code that rarely generates its own payment line — but the wound photos, vendor hand-offs, and records requests behind it create real HIPAA exposure. Here's the operational playbook.
Carl B. Johnson