Blog
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!
Chemodenervation: Injecting Payor Requirements Into the Mix
Chemodenervation involves the use of chemical agents to temporarily or permanently block nerve signals, paralyzing the targeted muscles. The most commonly known chemical agent is botulinum toxin (Botox), which is typically used for cosmetic purposes. It is also...
Beyond the Stigma: Overdose Awareness and Emergency Treatments
International Overdose Awareness Day (IOAD), which was just held on August 31, is an annual global event dedicated to raising awareness about overdose, promoting prevention, and advocating for treatment and support services. Overdose is a serious public health issue...
Spinal Injection Billing & Coding: A Pain in the Neck?
Neck and back pain are a common problem in the US. According to a 2019 study by the CDC and the National Center for Health Statistics, 39.0% of adults reported experiencing back pain in the last 3 months [1]. Back pain can be treated with a variety of methods, from...
Investing in Talent Pays Off, From Intern to FWA Investigator
Standing on the cusp of my final nursing semester, I felt uncertainty. Unlike my classmates, their futures neatly mapped out with dream hospital placements, I had no clear path. My previous clinical internships, while valuable in direct patient care, hadn't ignited a...
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...