Posts tagged with ""
There is no distinct ICD-10-CM code for "uncontrolled" hypertension — but the phrase drives queries, quality reporting, and a surprising amount of PHI movement. Here is how to run the workflow and control the data trail.
Carl B. Johnson
How practices select, document, and defend strep testing codes — plus the CLIA paperwork, analyzer vendors, and records-request problems that come with running lab tests in your own building.
Carl B. Johnson
Kidney cancer claims fail on laterality and travel through more vendors than most practices track. A working guide to documentation workflow, registry reporting, and BAA coverage for urology and oncology administrators.
Carl B. Johnson
A practice-operations guide to CPT code 99233: how level selection gets documented, who touches the chart between the bedside and the claim, and which vendors in that chain need a signed BAA.
Carl B. Johnson
A practice-operations guide to the 99417 CPT code: how time thresholds work, what your documentation has to prove, and the privacy and vendor exposure that prolonged-service billing quietly creates.
Carl B. Johnson
Pre-operative clearance encounters generate coding decisions, cross-practice records disclosures, and a longer vendor list than most administrators realize. Here is the operational and privacy side of ICD 10 pre op work.
Carl B. Johnson
A practice-operations guide to smoking cessation ICD 10 documentation: which code families your coders work from, who touches the record downstream, and where the vendor and disclosure risk actually sits.
Carl B. Johnson
A level-5 established patient visit generates more documentation, more outside records, and more payer scrutiny than any other office code. Here is how administrators handle the workflow, the audit response, and the vendor exposure.
Carl B. Johnson
How practices determine new versus established patient status, where multi-site groups get it wrong, and the records, refund, and vendor obligations that follow every registration decision.
Carl B. Johnson
A practice-operations guide to CPT 36415: how the collection fee is billed, what your staff must document at the draw, and which lab-adjacent vendors belong on your BAA list.
Carl B. Johnson