Billing – Page 3 – CRN Healthcare Solutions

Michigan Surgeon Accused of $60M Billing Fraud

July 23, 2019December 4, 2020Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Bay City, Michigan surgeon Vasso Godiali, MD, was indicted on July 10, 2019, for allegedly orchestrating a $60 million healthcare fraud scheme. He is also charged with money laundering for financial transactions involving almost $50 million in proceed… For more, read here: AAPC Blog

Getting Inspire Therapy for Sleep Apnea Covered

July 17, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Obstructive sleep apnea causes those who suffer from it to sleep poorly and always feel tired. Obstructive sleep apnea is also indicative for heart Inspire® therapy is a promising alternative to traditional treatment options for sleep apnea, but getting it covered under insurance is not a given. For more, read here: AAPC Blog

Cyber Threats to Physician Practices Are Growing

June 24, 2019July 16, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Here’s how to fight back. Most of us are concerned about being personally attacked by cybercriminals, and we must have that same increased awareness within our medical practices. Cybercriminals consider medical practices ripe for the picking. Security For more, read here: AAPC Blog

Assistant at Surgery Modifiers Require Specific Documentation

June 17, 2019June 18, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Over my almost 30-year surgical coding career, the documentation for assistant surgeons consisted of only the name of the assistant surgeon in the operative note header. Most often there was no mention of the role of the assistant surgeon in the body … For more, read here: AAPC Blog

DOJ Re-evaluates Compliance Programs

June 11, 2019June 18, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

The Department of Justice (DOJ) Criminal Division issued, April 30, a 19-page document entitled Evaluation of Corporate Compliance Programs. This document applies broadly to all industries where compliance is integral to operations and is not targeted… For more, read here: AAPC Blog

You’ll Need This to Get Balloon Dilation of the Eustachian Tube Paid

June 7, 2019June 18, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Clinical Consensus Statement: Balloon Dilation of the Eustachian Tube (BDET), published by the American Academy of Otolaryngology ̶ Head and Neck Surgery, June 4, is important because BDET is newer technology and may be rejected for payment by third… For more, read here: AAPC Blog

E/M Documentation for Teaching Docs Changes July 1, 2019

May 21, 2019June 18, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

There is a change in Medicare policy forthcoming regarding evaluation and management (E/M) services documentation requirements for teaching physicians. It is important to train teaching physicians, residents, and nurses who document E/M services of a… For more, read here: AAPC Blog

10 Reasons to Refuse Job Counter Offers

May 14, 2019June 18, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

I was recently speaking with a recruiter for HIMIGINE Solutions, James Mason Henk, about employers who make counter offers after employees give their notice that they are leaving for a new position. He has a list of TOP 10 REASONS NOT TO ACCEPT … For more, read here: AAPC Blog

AAPC is All About Networking

April 23, 2019April 23, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

I recently was asked what the value of local chapter meetings by a newly certified member was. I was a little taken back that she did not know the core value on which AAPC was founded, which is networking. Local chapters were key to AAPC, and they con… For more, read here: AAPC Blog

Prepare for HEALTHCON

April 9, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

HEALTHCON 2019 is two and a half weeks away and we are getting excited. It is that time of year when we get to get together with our fellow coding and billing professionals, many of… For more, read here: AAPC Blog