Posts tagged with ""
Pre-op clearance visits generate a coding question, a records exchange, and a vendor exposure all at once. Here is how administrators structure the workflow so all three hold up.
Carl B. Johnson
Cold-and-flu season fills your schedule with undifferentiated respiratory visits. Here is how practices assign, document, and defend those codes — and where the claims, statements, and vendor contracts behind them create privacy exposure.
Carl B. Johnson
A practice-operations guide to how medical billing codes move through your claims workflow — who selects them, who documents them, which vendors touch them, and where the privacy exposure actually sits.
Carl B. Johnson
Scribes touch every encounter note in your practice. Here is how the three delivery models work operationally, and where each one creates BAA, minimum-necessary, retention, and records-request obligations you own.
Carl B. Johnson
The QW modifier signals a CLIA-waived test on a Medicare claim. Here's the operational workflow, the certificate records your practice has to keep straight, and the vendor and privacy exposure that point-of-care testing creates.
Carl B. Johnson
STD screening claims are ordinary billing work with unusually high privacy stakes. Here's how practices structure code selection, documentation, EOB handling, and vendor oversight so a routine screen doesn't become a complaint.
Carl B. Johnson
Office visit CPT code selection runs through your EHR, your billers, your clearinghouse, and often an outside coding consultant. Here is the operational workflow, the documentation trail, and the HIPAA obligations that ride along with every claim.
Carl B. Johnson
Tobacco cessation counseling is one of the most under-captured services in primary care — and one of the stickiest data points in the chart. Here's how administrators handle 99406 documentation, payer rules, and the vendor and disclosure exposure that follows.
Carl B. Johnson
Transitional care management under 99495 runs on a two-business-day contact clock and a 30-day service period. Here's how practices staff it, document it, and keep the discharge data feeding it inside the BAA perimeter.
Carl B. Johnson
Modifier 93 tells payers a service happened over the phone. It also tells auditors exactly where to look — and quietly makes your VoIP system a business associate. Here's the operational workflow.
Carl B. Johnson