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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!

Spinal Injection Billing & Coding: A Pain in the Neck?

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...

New Codes, BIG Smiles!

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

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?

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)

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...