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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!
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...
New Year, New Modifier?
You may asking yourselves, what Modifier? Well, in September 2021, the AMA CPT Editorial Panel agreed on the acceptance of a new modifier, Modifier -93. The code was published to the AMA website December 31, 2021. Due to the late addition of the code, many folks may...
Emergency Department Visits With COVID – Related Diagnosis
In recent years there has been a change in how some emergency care services are delivered. There continue to be hospital-based emergency departments with typical ground and air ambulances delivering patients with serious illnesses including myocardial infarction,...
Long-Term Electroencephalograms
Billing for long-term electroencephalograms (EEGs) may feel intimidating, but it doesn’t have to be. Read on to understand how to break it down. An EEG is a test of brain waves or the electrical activity of the brain. It is performed by attaching multiple electrodes...