Due to the recent outbreak in COVID-19 paired with increased concern for patients to be seen under quarantine conditions, Welter Healthcare Partners is striving to collect all relevant documentation, coding and billing details to help clinicians assure they receive...

In March 2020, The U.S. Department of Health and Human Services finalized two HHS interoperability rules that give patients access to their healthcare data. With this new system, patients and providers will be able to access their medical records through applications...

CMS has released a second emergency code for the testing of CORVID-19. To find out more about this update, read the article below and click on the links to see how you are covered.  nnAs of Friday, March 6th, CMS released a second emergency code for CORVID-19 testing....

Anthem has recently finalized its acquisition of Beacon Health. This deal will allow for the expansion of critical behavioral health services, which will provide more care across the country. Read the article below for more information regarding the new changes that...

When we go to the doctor, someone puts notes into our file. If you see these notes, some entires might be strikingly similar. This is called cloned notes. Below in this week's Industry Hot Buttons, we go over cloned notes and how they can be an issue. Read the article...

You may have heard that Cofinity.net is being sunset and we’ll no longer be using directprovider.com. These sites have been replaced with a new secured provider portal at firsthealth.com, a self-serve center that’ll support your network needs by offering claim search...

February is Heart Health Awareness Month, so we all wear red and talk about our hearts, but what are we doing every day to make sure we are keeping it healthy? How many hours each day, week, month do we each spend at our desks without so much as a break to get water?...

The Trump Administration has released their healthcare spending proposal for FY21. These plans are said to foster cost transparency, break down barriers impeding choice and competition, and reduce regulatory burdens. Read the article below to learn more about the...

In a recent release of 2018 benchmarks regarding modifiers 76, 77 and 79, the data of payment vs denials is staggering. For instance, a total of 159 codes reported with 91 and 249 codes that were reported using modifier 77 all had a 100% denial rate. Compared to the...

2021 brings us monumental changes to Evaluation and Management coding and reporting!  Notable changes will include: Deletion of CPT code 99201, new time reporting guidelines and modifications to criteria for medical decision-making.nThe new guidance also includes a...

As Risk Adjustment (RA) and Hierarchical Condition Category (HCC) coding continue to grow and become common practice it is important for not just coders, but also our clinicians to recognize its importance and the effect it has on reimbursement. Below is an example of...

During the State of the Union address, President Trump discussed the price transparency rule and slammed Medicare for all. Below are some of the main points President Trump made during the speech which included drug pricing plans, association health plans, and more....