by Leah Culley | Jun 1, 2026 | Auditor Insights
Point-of-care (POC) testing is common in today’s clinical setting, but it’s also one of the most frequently misunderstood components of E/M coding. A common misconception is that every POC test performed automatically counts toward the Amount and/or...
by Deanna Upston | May 6, 2026 | Auditor Insights, Uncategorized
Modifier 22 is often used to capture cases that required increased procedural services, but a key question remains: do your claims truly support it—and is it worth the effort? What Payors Expect To justify modifier 22, documentation must go beyond stating that a case...
by Emily Lomaquahu | Apr 22, 2026 | Auditor Insights, Profee Coding, Webinar Q&As
Using scribes can help reduce documentation burden, but when that scribe is a physician assistant (PA) or nurse practitioner (NP), things can get complicated quickly. What Defines a Scribe? A scribe’s role is strictly to document the physician’s or NPP’s work during...
by Susan Bonham | Mar 31, 2026 | All Posts, Auditor Insights
Time-based E/M coding can be tricky, and audits often reveal a common mistake: including separately reported services in the total time. CPT® guidelines are clear—time spent on other billable services, travel, or general teaching unrelated to the patient’s management...
by Mary Bort | Mar 1, 2026 | Auditor Insights
Medicare has permanently expanded the definition of direct supervision for incident-to services, allowing supervising physicians to be virtually present rather than physically in the office suite. This major shift updates rules that had been in place for decades and...
by Deanna Upston | Feb 27, 2026 | All Posts, Auditor Insights
Accurate coding for adjacent tissue transfer procedures (CPT® 14000–14032) is essential—but are your operative reports giving payors what they need? Recent client questions and claim denials highlight a common documentation gap that coders should address. ...
