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Auditor Insights | New 2026 CPT Codes for Vaccine Counseling: What You Need to Know

by Emily Lomaquahu | Dec 23, 2025 | Auditor Insights, Inpatient Coding, Outpatient Coding, Profee Coding

Have you ever seen an encounter note in which your provider spends time talking through vaccines with a patient—answering questions, addressing hesitations, and explaining risks and benefits—only to have the patient say, “I’ll think about it?” CPT is attempting to...

Auditor Insights | Anesthesia Services for ESI & Facet Joint Injections: OIG Flags $177M in At-Risk Payments

by Shea Lunt | Dec 9, 2025 | All Posts, Auditor Insights

A recent OIG audit found that a Medicare Administrative Contractor (MAC) paid physicians for anesthesia services administered during facet joint injection sessions—even when documentation did not support medical necessity. The report estimates Medicare could have...
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