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
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
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
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...