August 2022 AI Alert

August 2022 AI Alert

Monkeypox Declared a Public Health Emergency – Coding Guidelines and Health Plan Preparation    On August 4, 2022, the USA declared monkeypox a public health emergency. On July 26, 2022, the American Medical Association (AMA) published the coding details for testing...
July 2022 AI Alert

July 2022 AI Alert

Dental Fraud, Waste and Abuse:A Billion(s) Dollar Problem   According to the National Health Care Anti-Fraud Association of the $250 Billion spent on dental care procedures annually nationwide, an estimated $12.5 Billion (or 5%) is lost to dental fraud, waste, and...
June 2022 AI Alert

June 2022 AI Alert

Educating your Pharmacy Network for Audit Preparedness   Pharmacies have always been a critical access point for healthcare information. A pharmacist is ever available to patients and offers free healthcare advice, thereby increasing access to the medical system at a...
May 2022 AI Alert

May 2022 AI Alert

Telehealth Place of Service Coding Changes The Centers for Medicare and Medicaid Services (CMS) recently made changes to The Place of Service (POS) code set. The POS code set provides setting information necessary to pay claims correctly. The CMS POS Workgroup revised...
April 2022 AI Alert

April 2022 AI Alert

ICD-10-CM Coding Update: Post COVID-19 Conditions In (FY) 2022, we saw an update from the CMS and NCHS to the International Classification of Diseases, 10th revision, clinical modification (ICD-10-CM), which included a code addition for post-COVID conditions. In this...
March 2022 AI Alert

March 2022 AI Alert

March 2022 COVID-19 Updates Background:Two manufacturers of Covid-19 vaccines have submitted additional requests for Emergency Use Authorization (EUA) for children ages 6 months to 4 years and boosters for those fully vaccinated adults. There is a new Covid-19 test to...