Articles Published

• Policy For Use of the -25 Modifier In Physical Medicine Encounters
• Understanding Medical Decision Making as a key component in E/M Coding and Use of the -25 modifier
• Three Steps to Correct Coding of Physical Medicine Procedures
• Traction as A Billable Therapy - CCI Impact and Reimbursement for Axial Traction
• Supportive Care: Justifying Reimbursement for Treatment of Chronic Conditions
• Proper Reporting of Time-Based Procedures
• HIPAA and Fraud: Application of the Health Insurance Portability and Accountability Act of 1996 to your Daily Operations
• Delegation of Services to Unlicensed Personnel: An Analysis of BPOA Policy
• Application of Separate Procedure Rules in Neuromuscular Diagnostic Testing
• Semantics in Coding: CPT Meaning of the Term Therapist for Direct One-On-One Contact Therapy Procedures
• The Reasonableness Element of Reasonable and Necessary
• The Necessary Element of Reasonable and Necessary
• Common Mistakes in PMR Coding
• Coding for Decompression Traction
• Understanding Neuromuscular Reeducation
• Medical Necessity – Condition, Care Type Definitions and Documentation Requirements
• Analysis of 2006 CPT Changes and Impact to PMR Providers
• Analysis of HIPAA Security Regulations
• Electrodiagnostic Service Coding; Documentation and Coding for EDX Services

NOTE: Above Articles Published in Bi-Monthly PMI Newsletter

• Mastering the Documentation Game: Published November/December 1999 Issue of Today's Chiropractic
• Documentation: Reasonableness; The First Step to Justifying Medical Necessity: Published September / October 2001 Issue of Today's Chiropractic.
• Proper Use of the "-59" modifier for Billing of Separate Therapy Procedures in the CMT Comprehensive Code Pairing; Accepted for Publication by the American Academy of Professional Coders Advisory Board and published in the AAPC periodical "Coding Edge," December 2002.
• Time Based Coding: Proper Reporting of Time-Based Physical Medicine Procedures; Published Issue 12, 2003 Chiropractic Economics.
• Joint Dysfunction: An Analysis of the Significance of Joint Dysfunction and Its Impact to the Reporting of Manipulation in Rehabilitative Encounters. Published in the ACA Journal September 2003, Vol. 40, No. 9. (clinical content reviewed by co-author Kim D. Christensen DC, DACRB)
• Contributing Author, Health Care Compliance Association, Monitoring and Auditing Manual, Evaluation and Management Scoring Tutorial and Audit Worksheet.
• Inducements: Is Your Marketing Program Compliant?; Published Issue 1, 2006 Chiropractic Economics
• A Structured Approach to Developing an Effective Internal Audit Program; Published in the Health Care Compliance Letter, 8/2007
• Time Based Evaluation and Management Service Reporting; Published Jan/Feb 2008 edition of CMA Today
• Up-coding or Under-documentation? Common Documentation Mistakes Related to E/M Services
• Electrodiagnostic Services; Review of Documentation, Billing and Bundling Rules; Published in BC Advantage October, 2007
• Common E/M Documentation Errors
• Proper Use of Modifiers by Physical Medicine Providers
• Beyond the Code: Understanding Coder Liability under the False Claims Act; Published in AAPC Coding Edge 2/2008
• Reporting Subsequent E/M Services in the Global Period; Published in AAPC Coding Edge – April 2008
• Not Documented – Not Done; Medicare Myth or Rule?; Published in Journal of Medical Practice Management
• When the OIG Comes Knocking – Do’s and Don’ts; Connecticut Medical Society Journal
• Implementing Self Referral Restrictions in Commercial Carrier Contracts; Published in Self-Insurer Magazine
• HIPAA Preemption of State Law Causes of Action for Disclosure of Health Information; Submitted for Law Review Publication
• False Claims Act/Civil Money Penalties Liability Associated with Patterns of Medically Unnecessary Care; Submitted for Law Review Publication
• Global Period: Reporting Subsequent Inpatient E/M Services Following Surgery; Published in AAPC Coding Edge, 4/2008
• Medicare Mark-Up Prohibition on Diagnostic Tests; Navigating Compliance and Coding Implications; Published in the Healthcare Compliance Letter. Co-Authored with Charles I. Artz, Esq.
• Coding Implications of Purchased Diagnostic Test Rules; AAPC Coding Edge
• Next Round of Stark Rules; HIPPS final rule has many changes in store; start planning now; Imaging Economics, Aug. 2008
• Coding Implications of Purchased Diagnostic Test Rules; AAPC Coding Edge
• FCA Ruling Reiterates Importance of Compliance; AAPC Edge Blast, 11/2008
• Top Ten FCA Risk Areas for Physician Practices; Journal of Medical Practice Management Dec 2008