Dental Fraud in Medicaid

  • Steve Nesnidal, MD, CPC, AHFI
  • May 09, 2023
  • Comments
Keyboard

A multi-million dollar dental fraud scheme provides an example to the benefits of having fraud, waste, and abuse (FWA) protection. Click to learn more.

Why Fraud Analytics Are Important to You

  • John Danza
  • Oct 17, 2022
  • Comments
Man Working on Computer

A multi-million dollar scheme serves as a prime example to the benefits of Fraud, Waste, and Abuse (FWA) protection. The story of a doctor performing an alarmingly high amount of surgeries not typically conducted by their specialty is awakening to the need for robust safeguarding solutions.

Evaluation and Management with Psychotherapy

  • Steve Nesnidal, MD, CPC, AHFI
  • Sep 26, 2022
  • Comments
iStock-143175979

CPT provides distinct codes for reporting face-to-face Psychotherapy with two different approaches. Either an Evaluation and Management (E/M) code can be submitted in tandem with a Psychotherapy add-on code, or a standalone Psychotherapy code can be submitted. Press "Read More" to learn how to use these codes appropriately.

CMS Adds and Updates Place of Service Telemedicine Codes

  • Steve Nesnidal, MD, CPC, AHFI
  • Feb 11, 2022
  • Comments
KeyboardMedical

On January 1, 2022, CMS’s Place of Service (POS) Workgroup added new POS code 10, with description "Telehealth Provided in Patient’s Home". Simultaneously, the established POS code 02 description was changed to "Telehealth Provided Other than in Patient’s Home".

The Latest Three COVID-19 Vaccine Codes from the AMA

  • Steve Nesnidal, MD, CPC, AHFI
  • Feb 02, 2022
  • Comments
iStock-vaccineresearch_smaller

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.

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