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...
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
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...