AI Solutions for Healthcare
AI Alert October 2024

AI Alert October 2024

Bladder Beware: Flushing out Healthcare Fraud for Urinary Catheters  Urinary catheters and external urinary collection devices are generally covered for patients who have acute (non-routine), permanent urinary incontinence or permanent urinary retention. CMS defines...
September AI Alert 2024

September AI Alert 2024

Ensuring Accountability: The Critical Role of Supervision in Preventing Fraud, Waste, and Abuse in Home and Community-Based Services  Home health aides (HHAs) provide critical support for the elderly, disabled, and individuals recovering from illness. Their role...
August AI Alert 2024

August AI Alert 2024

The Hidden Costs of Overlapping or Excessive Monthly Services  Monthly management of patient care  Monitoring and coordinating care for patients with chronic conditions, such as heart disease or kidney disease, may be managed monthly by their primary care or a...
July AI Alert 2024

July AI Alert 2024

Emergency Room CPT Coding: An Overview  Some of the most used CPT codes in the Emergency Department (“ED”) setting are the Evaluation and Management (“E/M”) code set (99281-99285).  Emergency Medicine providers treat a wide array of patients resulting in a range...
June AI Alert 2024

June AI Alert 2024

Decoding the “ACGT” of Genetic Testing Referrals  Deciphering our past and potential future using genetic testing.  ACGT is the acronym for the four types of bases found in a DNA molecule: adenine (A), cytosine (C), guanine (G), and thymine (T). Genetic code is...
May AI Alert 2024

May AI Alert 2024

Payment Integrity Audit: Facility vs. Non-Facility Place of Service Codes  Under the Medicare Physician Fee Schedule (MPFS), some procedures have separate rates for physicians’ services when provided in facility and non-facility settings. In general, the...