Posts tagged with ""
Preparticipation exams create three problems at once: a coding decision with no dedicated code, a self-pay conversation, and a disclosure to a third party. Here is the operational workflow, role by role.
Carl B. Johnson
Complex chronic care management billing creates a monthly time log, a shareable care plan, and at least three vendor relationships that need a BAA. Here is how to run it without creating an audit or privacy problem.
Carl B. Johnson
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
CPT 95251 pays for interpreting continuous glucose monitor data — but the data lives in a vendor's cloud portal, not your chart. Here's the operational workflow, the documentation packet, and the BAA and records-access obligations that come with it.
Carl B. Johnson
A practice-operations guide to CPT 81025: the CLIA waiver paperwork, documentation your coders need, payer frequency edits, and the reproductive-health privacy exposure hiding behind a two-dollar test strip.
Carl B. Johnson
The Welcome to Medicare visit generates eligibility checks, screening questionnaires, and third-party data flows that most practices never mapped. Here is the operational workflow and the privacy exposure underneath it.
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
A practice-operations guide to E/M coding: who touches a code between visit and remittance, what documentation an auditor will demand, and which vendors in the chain need a signed BAA.
Carl B. Johnson
Staff searching for the CPT code for an annual wellness visit usually land on the wrong code set. Here's the billing mechanics, the eligibility checks that stop denials, and the vendor and records obligations the AWV quietly creates.
Carl B. Johnson
Your reference lab bills CPT code 88175 — but your practice owns the requisition, the specimen log, the results portal accounts, and every vendor agreement in between. Here is the operational and privacy map.
Carl B. Johnson