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Setting the Stage for Success

Medical billers, coders, compliance officers, practice managers, and other healthcare business professionals joined AAPC on Dec. 9 for the first day of ELEVATE. The two-day leadership conference is dedicated to career development and helping healthcare business professionals learn what they can do to enhance their skill sets and advance their careers. The virtual event features…

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AMA, AHA, CMS Add No Surprises Act Resources

Worried about how to protect your wallet from surprise medical bills? The new No Surprise Act was passed recently and many still do not understand what it truly means for them. Luckily, a couple of organizations have added No Surprise Act resources that will help people comprehend the new act. Continue reading below to find…

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Spinal Injection Procedures

The report below describes spinal injection procedures in detail, noting how many of these procedures are bundled into one code. Continue reading below to learn more! Do you have a complicated surgery case that needs help with coding? RT Welter would love to help! Please upload the operative note by clicking on the link below.…

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ROI FROM HUMANA PRIOR AUTHORIZATION PLATFORM DRIVES NATIONWIDE EXPANSION IN LESS THAN ONE YEAR

The ROI from Humana prior authorization platform is driving a nationwide expansion in less than one year. This expansion will improve healthcare processes and costs. Continue reading below to learn more! “This is a re-imagined PA process, one where expedited approval becomes the standard,” says one Humana executive. KEY TAKEAWAYS Humana’s prior authorization platform authorizes…

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Behavioral Health – Interactive Complexity Guidelines

By: Sheila Haynes, Manager Coding & Compliance Defining Interactive Complexity +90785: Interactive Complexity (+90785) is an add-on code utilized for office visits with a psychologist or other mental health professional that are complicated by language, behavior, emotions, mandated reporting requirements or trauma. +90785 is utilized in addition to one of the following primary service codes…

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CMS Revised Split/Shared Visit Policy Changes for 2022

By: Sheila Haynes, CPC Coding and Compliance Manager Take notice and prepare for changes to the guidelines for billing split/shared services if your practice’s physicians and qualified health care professionals (QHP) regularly team up for hospital visits. The new guidelines go into effect on Jan. 1, 2022. What is a Split/Shared Visit? Definition of split…

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Happy Holidays and Happy New Year!

From our RT Welter family to yours, we would like to wish you a very happy holiday season and New Year! We are so grateful for your continued support and business, and can’t wait to see what 2022 has in store! In observance of the holidays, RT Welter will be closing at noon on Thursday,…

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OIG Spotlight – Modifier 25

Modifier 25 is an important Evaluation and Management service medical professionals need to understand. It is used for same-day procedures when services beyond usual pre and post-operation are necessary. Continue reading below for a breakdown and examples of modifier 25! By: Sheila Haynes, CPC Coding and Compliance Manager Pay close attention to billing E/M (office…

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