Our Thoughts on Best Practices

You Have A Partner.

Schemes, Errors & Scams – How Uncommon Claim Review Leads to Savings

January 2021
Posted in ,
Nokomis Health | Stories from the Front Line

Nokomis Health’s coding team was reviewing a client’s out of network laboratory and a batch of genetic testing claims raised some questions. The claims appeared to be legitimate – the CPT code was valid, the diagnosis code supported the charge, the NPI and TIN were correct – but the charges were very high for the…

Continue Reading

How Do You Become an Expert Medical Coder?

December 2020
Posted in ,
Nokomis Health | Director of Coding Anne Karl

INTERVIEW WITH DIRECTOR OF CODING ANNE KARL How did you get into coding? My father was a family practice physician and I’ve always been drawn to that world. When I came out of school the traditional job for an RHIA (Registered Health Information Administrator) was to be the Director of Medical Records in a hospital setting, but…

Continue Reading

Managing high-cost air-ambulance claims

November 2020
Posted in ,
Nokomis Health | Cadillac Tax

Nokomis recently reduced the cost of a $100,000 air ambulance claim by 76%.  As a national leader in payment integrity and claim support services, Nokomis once again demonstrated a unique understanding of a very nuanced and expensive corner of healthcare services.

Continue Reading

The Power of the 59 Modifier

October 2020
Posted in ,
Nokomis Health | Modifier 59

Do you know how much power there is in a single two-digit number? Most payors and health plans don’t realize the impact that the 59 modifier can have on claim costs. Adding this simple modifier to a CPT code allows that code to bypass several code edits, resulting in erroneous and often incorrect payments. Providers have…

Continue Reading