Understanding COVID-19 PLA Codes

Understanding COVID-19 PLA Codes

If you have billed, paid or audited laboratory services there is a good chance you have encountered PLA codes, those alpha-numeric procedure codes ending in “U”. According to the American Medical Association (AMA), “Proprietary Laboratory Analyses (PLA) Codes are an...
S2, E7: FWA Chat with a Retired OIG Agent

S2, E7: FWA Chat with a Retired OIG Agent

Welcome to Season 2, Episode 7 of the Healthcare Fraud Shield podcast. In this episode we talk to Eric Rubenstein a retired OIG Agent who currently the Director of Litigation/FWA Support at Advize Health. If you would like to record a message for our podcast you can...
Understanding Wheelchair Management

Understanding Wheelchair Management

Most people need a little tutorial on how to use new equipment. This also applies to patients who need new wheelchairs. Enter the service of wheelchair management. In this service, the provider assesses a patient’s need for a wheelchair and/or teaches a patient...
Unwrapping the Global Surgery Mystery

Unwrapping the Global Surgery Mystery

So many questions to answer, What is the Global Surgery Package? What services are included in it? What services can be billed separately during the global days? Let’s break it down. According to the Centers for Medicare & Medicaid (CMS), Medicare established a...