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HCFS employees highly respected industry known Subject Matter Experts are sought after to speak regularly for not only our clients, but a myriad of industry organizations. Our team is dedicated to not only FWA detection and prevention, but to education. We provide complimentary scheme oriented articles used by both clients and non-clients providing actionable takeaways and insights that have led to millions of dollars of savings and recoveries. Sign up for our newsletter!
Sunshine on Demand: Phototherapy – A Brighter Future for Your Skin
“I am a better person when I have a tan!” We’ve all seen this meme on various social media sites and some of us may have used it as a clever way to suggest taking a vacation. Is there medical truth behind this too? Phototherapy, also known as light therapy, is a...
From Head to Toe, and Maybe Your Wallet Too: The All-Encompassing (and Expensive) World of Health Screenings
We all want to stay on top of our health, and regular checkups with a doctor are a great way to do that. But in our quest for early detection, have we fallen into the trap of too much testing? We’ve all heard the saying ‘an ounce of prevention is worth a pound of...
New Codes, BIG Smiles!
The American Dental Association (ADA) implemented a revised set of Current Dental Terminology (CDT) codes for 2024 [1], to reflect advancements in dental procedures and materials. These codes became effective on January 1st and consist of fourteen new codes, one new...
DRG Deception? How DRG Abuse Inflates Sepsis Claims
Understanding Diagnosis Related Group billing (DRG) is crucial for ensuring fair and accurate payments for the care insurance companies provide coverage for. Let us break down what it means and how it affects hospital reimbursements. What is DRG Billing and How Does...
DME schemes-intermittent catheters, but what’s next?
Everyone in the healthcare field is very aware of the ongoing DME billing schemes. The most recent topic in the news has been the intermittent catheters schemes. Catheters are thin, flexible tubes that play a crucial role in managing various urinary and other medical...
Decoding Annual Wellness Visits (AWV)
Medicare lays out clear guidelines for Annual Wellness Visits (AWV), including Personalized Prevention Plan Services (PPPS). There are a number of specific requirements of these visits in order to be eligible for reimbursement. Providers will develop a personalized...
Small Patients, Big Challenges: Using Modifier 63
This article delves into modifier 63, a key piece for dealing with the smallest patients, infants weighing less than 4 kg. Modifier 63 addresses the additional time, complexities, and challenges of treating infants under 4kg or about 8.8 pounds. To put this in...
Nuedexta: Laughter, Tears, & Off-Label Use
Nuedexta, a drug marketed for Pseudobulbar Affect (PBA), a condition causing uncontrollable laughing or crying, finds itself under a cloud of controversy. According to the manufacturer[1]: “PBA is a medical condition that causes involuntary, sudden, and frequent...
Off-Label Use Of Adderall
In this article, we discuss Adderall and its treatment for Attention-Deficit/Hyperactivity Disorder (ADHD) as well concerns expressed by Federal agencies regarding Adderall drug shortages including a range of factors leading to such shortages such as off-label...
Time is Money: Automating Your Case Prioritization Process
Who has enough time in their day to do everything you need to do? Almost no one. If you are going to the NHCAA Annual Training Conference in Dallas, then you don't want to miss this session. If you aren't able to attend, let us know and we can provide you free...