Posts tagged with ""
A sore-throat visit touches your front desk, a CLIA-waived test log, a clearinghouse, and sometimes a school note. Here's how to run the coding workflow and the privacy controls that ride along with it.
Carl B. Johnson
Nurse visits generate small claims and outsized audit risk. Here is how administrators build a defensible 99211 workflow, then handle the records requests, payer audits, and vendor agreements that follow.
Carl B. Johnson
A practice-operations walkthrough of how pap smear CPT code selection actually happens — who touches the requisition, where denials come from, and which vendors in that chain need a signed BAA.
Carl B. Johnson
A practice-operations guide to how the I10 ICD-10-CM code moves from provider documentation through your clearinghouse and out to patients — and the BAA, minimum necessary, and records-request obligations that follow it.
Carl B. Johnson
The Medicare annual wellness visit generates a health risk assessment, a written prevention plan, and a vendor trail. Here's the operational workflow plus the privacy and BAA obligations administrators own.
Carl B. Johnson
Relative value units drive your fee schedule, your provider compensation model, and a data pipeline full of PHI. Here is how RVUs actually work operationally — and which vendors need a BAA before they touch the file.
Carl B. Johnson
A practice-operations guide to running Aetna telehealth visits: eligibility verification, how staff document code selection, platform vendor agreements, and what happens when a patient requests the video-visit record.
Carl B. Johnson
Modifier 95 tells every payer that a visit happened over video. That single character pair drives claim edits, audit exposure, and a vendor list your privacy officer needs to reconcile.
Carl B. Johnson
Most practices run on six or seven documents people loosely call "the HIPAA form." Here's what each one does, which elements make an authorization valid, and where the vendor and records-handling risk actually sits.
Carl B. Johnson
A practice-operations guide to the 36415 CPT code: how the collection charge gets documented and billed, and how the requisition, specimen label, courier handoff, and lab portal create privacy obligations most risk analyses never touch.
Carl B. Johnson