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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!
Transfixed by the SI Joint
There has been a seismic change to the coding and reimbursement for sacroiliac (SI) joint procedures over the last few years – we’re “transfixed” on this hot topic. New and disruptive minimally invasive procedures and techniques have come onto the market since 2018-...
Learning About Lancets
For those afflicted with diabetes, managing all the different devices and the disease may feel like a daunting task. Even more intimidating may be learning what devices are covered and how much is covered. There are many different ways to treat and monitor diabetes....
What You Should Know About LEQEMBI
LEQEMBI is a newly approved drug by the U.S. Food and Drug Administration (FDA) for the treatment of Alzheimer’s disease. According to the FDA, “Alzheimer’s disease is an irreversible, progressive brain disorder affecting more than 6.5 million Americans that slowly...
Happy Hour at the Drip Bar?
Yes, there is a new bar in town and not the kind you think. They are known as IV Drip bars. You can get IV fluids at these trendy concierge IV Drip bars, in the comfort of your own home, at drip parties or almost any location nowadays with the mobile services. Many...
Upcoding HCCs–Diabetes
What is an HCC? An HCC is a Hierarchical Condition Category which is used to calculate risk scores that may predict the future cost of healthcare for enrollees. HCCs were implemented by the Centers for Medicare and Medicaid (CMS) and have been adopted by Medicare...
Scaling and Planing Concerns
What is Scaling and Planing? Scaling is the process of removing plaque and tarter from below the gumline. Planing (Root Planing or Curettage) is when the patient’s tooth root is smoothed out which helps the gums to reattach to the tooth. [1] Patients exhibiting...
Oh, Oh….Ozempic
Ever have a commercial jingle stuck in your ahead? If you haven’t heard the Ozempic jingle feel free to listen here. Manufactured by Novo Nordisk, Ozempic is prescribed to patients to treat Type 2 diabetes and to reduce the risk of adverse cardiovascular events. Novo...
Coding Crisis Psychotherapy
What is Crisis Psychotherapy? Crisis Psychotherapy is a session that occurs between the provider and the patient due to a life-threatening or highly complex issue that requires immediate attention.[1] According to the coding guidelines, “Psychotherapy for crisis is an...
2023 Hernia Repair Code Changes
What is Hernia? Hernia is when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue called fascia. There are several types of hernia including inguinal (inner groin), incisional (resulting from an incision), femoral (outer...
Keeping An Eye On Vabysmo
What is Vabysmo? According to the manufacturer (Genentech), VABYSMO (faricimab-svoa) is a prescription medicine given by injection into the eye, used to treat adults with Neovascular (Wet) Age-related Macular Degeneration (AMD or nAMD) and Diabetic Macular Edema...