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...