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The Advize Health Newsletter:
Holiday Edition

A Season Full of Joy and Cheer!
We hope you're enjoying the holiday season! Don’t miss Advize Health's complimentary 1.5 CEU webinar, where we present Health Risk Adjustment Coding. See Upcoming Events.  Please scroll down to enjoy our newsletter and be sure to take our quiz to earn 1 free CEU!

To find out more about our medical record review services, email practice leader Jeanmarie Loria at - and be sure to follow Advize Health on Twitter and LinkedIn for updates!
Complimentary Webinar Coming Your Way!

 Health Risk Adjustment Coding

The webinar will include:
  • Are there different types of Risk Adjustment Models...Tools?
  • Where does Risk Adjustment data request come from? 
  • Is Risk Adjustment just temporary?
When: January 14th
When: 2:00-3:30pm
1.5 Free CEUs Available!
In this Enlighten Issue: 
  • 12 Days of Giving
  • 5 Most Common HEDIS Hurdles
  • The Two Midnight Rule 2016 Exception
  • Auditing Claims: What Can The Data Tell You?
  • How to Use Taxonomy Code Correctly
  • Wound Repairs Coding: Top 3 Points to Remember
  • CPT 2016 Updates Recap
  • Understanding Modifier 22 & Its Increased Procedural Services
  • Upcoming Events
  • About Advize Health
  • December Newsletter Quiz

Advize Health's 12 Days of Giving

During the holiday season, we decided to share with you all of the great things that Advize Health is doing to stay connected and give back. Not only does our team volunteer during the holiday season, but year-round. Our core values at Advize Health extend beyond excellence and quality to embrace justice, stewardship and community.

Read More >> 

5 Most Common HEDIS Hurdles

 Health plans that want to “do” HEDIS should anticipate its common stumbling blocks — and take steps to overcome them.


The Two Midnight Rule 2016 Exception

CMS released CY 2016 Outpatient Prospective Payment System (OPPS) Proposed Rule (CMS 1633 P). In which they propose to allow an exception to the controversial Two Midnight Rule. 


Auditing Claims: What Can The Data Tell You?

There are many techniques to extracting data that can range from reviewing claim line billing data to actual medical record reviews. Relying exclusively on the claims data. 


How to Use Taxonomy Code Correctly

Every healthcare provider has at least one taxonomy code that reflects his or her specialty. Ensure that your provider’s specialty is accurately represented by this. 


Wound Repairs Coding: Top 3 Points to Remember

  • Layer – What is the depth/complexity of the wound repair?
  • Location – Where on the body is the wound?

CPT 2016 Updates Recap

CPT’s New Year’s Resolution isn’t to trim the fat, in fact, it’s expanding! New codes are being added for a variety of services as a result of data collected by the AMA.


Understanding Modifier 22 & Its Increased Procedural Services
When the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. 



Upcoming Events

January 9-February 13: CPC Training Course
January 14: Health Risk Adjustment Coding
To reserve your spot contact or 813.569.2352.

Advize Health is here to advise you!

About Advize Health

Advize Health LLC is a medical record review and advisory company headquartered in Tampa, Florida and has employees all over the United States. You might remember our cost-effective and efficient medical record review services as those of Sunera Healthcare, however, due to rapid growth and success, we have re-branded and re-defined our company to create Advize Health, moving full steam ahead in 2015. Our Audit practice produces complete and accurate medical record reviews that fully explain how the codes were determined, down to the actual elements within the medical record. Our highly skilled and experienced team of experts performs the reviews in order to identify inconsistent documentation between clinical records and claim payment. As added benefit to becoming Advize Health, we now offer staff augmentation, education for both payers and providers through our Advisory practice.

Visit our website here >>


Earn 1 Free CEU

by passing our 10-question
newsletter test!

Thank you for reading this issue of the The Enlighten Newsletter. Please click the link next to this Newsletter to take the online free test, worth 1 AAPC CEU. A score of 70% or higher is required. CEU opportunity will be available for up to one year from the date of this newsletter. Your CEU certificate will be emailed to you following your successful completion.

*Note: You will not receive your certification immediately following the completion of the quiz due to the fact that it needs to be reviewed and issued CEUs beforehand. If you have questions reach out to our team at
Take the Quiz
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201 E Kennedy Blvd Suite 1130
Tampa, FL 33602

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