Rapid Solutions

Your problem-focused questions, answered on-demand…in under 10 minutes

Maintenance Coding

When treatment is no longer considered medically necessary but still needs to be reported to payers, determine if it is most appropriate to use a maintenance diagnosis code, procedure code, or append a modifier.

Medical Necessity vs. Clinical Appropriateness

The best way to advocate for the benefits your patients are entitled to is to understand the definitions of medical necessity and clinical appropriateness and to learn how to document these services correctly.

Using the 25 Modifier

This Rapid Solution will help you understand when it is appropriate to use modifier 25, and when it is not.

OATs

When used correctly, OATs assist the practitioner in meeting third-party requirements for the treatment of functional impairment(s) and, at the same time, give tangible need for care beyond the management of pain alone.

Incident Burst Episode

This is the very core of case management, and this Rapid Solution outlines the options so every provider has a rule of thumb.

MRP What it Means

It is important to know the policy and play by the rules of the plan in accordance to your contract with the payer to ensure proper claim payment.

Timed Treatment Codes

This training outlines the key points necessary to apply proper methodology for counting time when billing CPT codes that are timed based.

The Basics of HCPCS Coding

In this Rapid Solution, you will learn the fundamentals of the different Health Care Procedure Coding System (HCPCS) codes including the Level II code set.

Timely Documentation

Establishing efficient and effective processes and policies for successful documentation saves time and keeps busy doctors on track.

Routine Office Visit-Subjective

It helps demonstrate the story of the patient's experience as s/he returns to functional health, by illustrating the patient's reasons and needs at the time of the visit.

The Re-Evaluation Conundrum

Re-evaluations, when used properly, strengthen your patient care compliance and increase your ability to prove medical necessity for care.

Important Elements of the Treatment Plan

This Rapid Solution outlines the key elements necessary in a treatment plan, the differences between the plan and the treatment, and how that differs from a "care" plan.