Posts tagged with ""
What the 99221 CPT code description covers, how practices document level selection under the post-2023 inpatient E/M rules, and where the PHI and vendor risk sits in a hospital-based billing workflow.
Carl B. Johnson
E/M code selection touches your clinicians, coders, outside auditors, clearinghouse, and increasingly your ambient documentation vendor. Here is how practice administrators run the workflow and lock down the privacy exposure that comes with it.
Carl B. Johnson
How the G20 code family works in a movement disorder clinic, and where code selection collides with minimum necessary, caregiver disclosures, BAAs, and your 30-day records clock.
Carl B. Johnson
The new-vs-established determination is a records lookup that your front desk performs dozens of times a day. Here is how to build the workflow, document it, and close the privacy and vendor gaps it creates.
Carl B. Johnson
Developmental screening billed under 96110 creates PHI before the visit even starts — on tablets, in vendor scoring portals, and in text-message links. Here's the operational and privacy workflow your practice needs.
Carl B. Johnson
The most-billed established patient office visit code also generates the most audit letters, vendor touchpoints, and records requests. Here is how to run the workflow without leaking PHI or losing the documentation trail.
Carl B. Johnson
Extremity ultrasound billed under CPT 76881 generates a permanent image, a written report, and a designated record set entry. Here is how practice administrators handle the documentation, the payer scrutiny, and the vendor exposure that comes with the probe.
Carl B. Johnson
A practice-operations guide to EHR documentation: what belongs in the designated record set, how to handle amendment requests and audit log demands, and which documentation vendors need a signed BAA.
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