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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...
Suvorexant and Opioid Withdrawal
The Opioid epidemic continues to plague many individuals resulting in overdoses and in some cases death. According to the CDC, in 2020 almost 75% of drug overdoses were attributed to or involved an opioid. Opioid death rates (which included individuals prescribed and...
Hospital Observation Codes in 2023 – Gone!
Prior to the 2023 Current Procedural Terminology (CPT) code set, there were several codes specifically used for hospital observation services[1]: CPT 99217 (Observation discharge) 99218-99220 (initial observation care) 99224-99226 (subsequent observation care) All of...
Understanding Modifier Q6
A locum tenens provider is someone who does not own their practice but serves as a travelling provider filling in for other providers who are unable to work due to a variety of reasons, including illness. Locum tenens is now referred to as Fee-For-Service Time...
The Value of Prepayment Software and Claims Reviews
First, let’s introduce you to Healthcare Fraud Shield’s new Director of Prepayment Review, Alexandria Denton. Alex’s work has spanned across industries in healthcare, hospitality, and holistic well-being. The trajectory of humanity and addressing social needs have...
Understanding Cognitive Assessments
What is Cognitive impairment? According to the Center for Disease Control (CDC): Cognitive impairment is when a person has trouble remembering, learning new things, concentrating, or making decisions that affect their everyday life. Cognitive impairment ranges from...
Are You Monitoring Acetaminophen Toxicity?
What is Acetaminophen? Acetaminophen is arguably one of the most common medications as it is the main ingredient in Tylenol. Acetaminophen is found in several over the counter and prescription medications, including, but not limited to: Actifed, Alka-Seltzer...
Are Two Providers Better than One?
What happens when a service performed on a patient is split or shared among more than one provider? I’d like to introduce you to a new modifier – modifier FS. According to AAPC Coder, modifier FS indicates that “the service was a split or shared evaluation and...
Keep Your Eyes on Places of Service Codes 02 and 10!
Lately, it feels like every week there is a new procedure code, but do you pay attention to new place of service codes? Most are familiar with Place of Service 02, but there was a description update. Place of Service 02 is now called Telehealth Provided Other than in...