Aug 29, 2024 | Forensic AI Alerts
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...
Jul 31, 2024 | Forensic AI Alerts
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...
Jun 27, 2024 | Forensic AI Alerts
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 24, 2024 | Forensic AI Alerts
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...
Apr 30, 2024 | Forensic AI Alerts
Wegovy – Getting to the Heart of the Matter On March 8, 2024, the U.S. Food and Drug Administration (FDA) announced its approval of Wegovy (semaglutide) injections for a new indication in addition to weight loss. Their release states, “to reduce the risk of...
Mar 29, 2024 | Forensic AI Alerts
Taking Medicine To The Street – Reimbursement Now Available For Street Medicine Starting October 1, 2023, providers can report street medicine services using the newly established Place of Service (POS) code 27, as created by CMS. This place of service is...
