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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!
Understanding Interpretive Services
Healthcare Common Procedure Coding System (HCPCS) codes that start with the letter T are typically used by Medicaid agencies, Managed Care Organizations (MCO) who administer Medicaid programs. HCPCS...
Understanding COVID-19 PLA Codes
If you have billed, paid or audited laboratory services there is a good chance you have encountered PLA codes, those alpha-numeric procedure codes ending in “U”. According to the American Medical...
Let’s Talk about Modifier – AT – Active Treatment
How many of us went to a chiropractor only once? How often did you go when you first initiated chiropractic treatment vs. months later? Do you know if you are undergoing active or maintenance...
Understanding Wheelchair Management
Most people need a little tutorial on how to use new equipment. This also applies to patients who need new wheelchairs. Enter the service of wheelchair management. In this service, the provider...
Unwrapping the Global Surgery Mystery
So many questions to answer, What is the Global Surgery Package? What services are included in it? What services can be billed separately during the global days? Let’s break it down. According to...
DRG and Clinical Validation Audits: Demystifying the Difference
Medical record auditing is an excellent tool for payers to ensure that hospitals are appropriately reimbursed for services rendered. The Office of Inspector General’s (OIG) Audit Work Plan [1] for...