FWA Briefs

Find news and solutions for healthcare payers and providers. Recognize and avoid potential fraud, waste, and abuse scenarios. Real-time clinical claim editing are analyzed to maximize provider reimbursements.

The Latest Three COVID-19 Vaccine Codes from the AMA

  • Steve Nesnidal, MD, CPC, AHFI
  • Feb 02, 2022
  • Comments
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On February 1, 2022, the AMA released three more specific COVID-19 CPT Vaccine codes for use in reporting vaccination with Pfizer’s latest toxoid of patients between six months to five years of age. Although these codes have been released, they will not be effective until the date an EUA (Emergency Use Authorization) is granted by the FDA.

Impact of the COVID-19 Pandemic on Healthcare Fraud

  • Steve Nesnidal, MD, CPC, AHFI
  • Apr 07, 2021
  • Comments
Stop Fraud Image - Large

During the pandemic, healthcare claim fraud prevails as new fraud schemes develop and adapt to the changes in healthcare guidelines enacted, so providers can continue to treat patients. Two major areas of FWA expansion during the pandemic include Telehealth and COVID-19-related laboratory testing add-on services.

Janssen Single-Dose COVID-19 Vaccine is Pending FDA Emergency Use Authorization

  • Steve Nesnidal, MD, CPC, AHFI
  • Feb 23, 2021
  • Comments
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UPDATED AS OF 6/9/2021. Janssen Biotech, Inc. applied to the FDA for Emergency Use Authorization (EUA) of its single-dose COVID-19 vaccine, which may be a highly desirable weapon used to fight the virus based on characteristics and efficacy data.

Effective dates now known for Pfizer and Moderna vaccines, AstraZeneca vaccine coming

  • Steve Nesnidal, MD, CPC, AHFI
  • Dec 24, 2020
  • Comments
COVID Vaccine

Pfizer and Moderna Covid vaccine codes receive effective dates, AstraZeneca vaccine assigned procedure codes but not yet effective.

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