Posts tagged with ""
CGM interpretation billing pulls patient data through manufacturer portals, third-party aggregators, and staff logins your BAA list probably doesn't cover. Here's the operational and privacy workflow behind 95251.
Carl B. Johnson
A practice-operations guide to CPT 96375: how the add-on IV push charge gets created, who touches the documentation, and the BAA, minimum-necessary, and records-request obligations that ride along with it.
Carl B. Johnson
Preoperative clearance requests arrive by fax, portal, and phone call — and every one of them creates a coding decision, a disclosure, and a vendor exposure. Here's how to run the workflow without leaking anything.
Carl B. Johnson
What G0101 covers, how the 23-month and 11-month frequency clocks work, what the chart has to show, and the vendor and records-handling exposure that rides along with every screening claim.
Carl B. Johnson
A practice-operations walkthrough of the 99233 CPT description — what the code descriptor requires, how documentation gets reviewed, and where the privacy, minimum-necessary, and business associate exposures sit in an inpatient billing workflow.
Carl B. Johnson
A $12 point-of-care urine pregnancy test generates one of the most sensitive line items your billing system will ever transmit. Here's how the 81025 CPT code description works operationally — and what it obligates your front desk, billers, and vendors to do.
Carl B. Johnson
What the 99223 CPT code definition means operationally for a hospitalist or specialist group — who touches the record, which vendors need BAAs, and how to build an audit response packet without over-disclosing PHI.
Carl B. Johnson
Transitional care management pays for work that happens between discharge and the follow-up visit — which means discharge feeds, outbound calls, and third-party outreach vendors. Here's how to run the workflow and close the privacy gaps it creates.
Carl B. Johnson
Wound care generates codes, photographs, and vendor relationships in equal measure. Here is how administrators structure documentation, assign roles, and close the privacy gaps that dressing changes create.
Carl B. Johnson
A plain-English operations guide to CMS HCC coding for practice administrators — the chart-chase workflow, who signs the BAA, retention clocks, and the disclosure rules that apply when a health plan asks for 200 charts.
Carl B. Johnson