Urology services can be quite challenging to bill, especially the surgical procedures. That’s because the bundling rules and billing requirements can confuse even the most experienced billers. One such procedure is billed via CPT code 52356, and many billers make mistakes while filing claims for it. That’s why we have created this detailed guide on […]
Do you want to know what the relative value unit (RVU) is? It is a primary component of the resource-based relative value scale (RBRVS). For context, the Centers for Medicare & Medicaid (CMS) and other commercial payers use it to determine payment against physician services. This guide will explore RVU in medical billing in detail,
What is a Relative Value Unit (RVU) in Medical Billing? Read More »
Preventive care is an essential checkup that helps patients maintain a healthy lifestyle. This checkup detects early signs of potential illnesses, manages chronic conditions, and reduces overall healthcare costs. However, the billing challenges still exist for the healthcare professionals providing preventive care. Hence, this blog discusses every essential detail about CPT code 99384, which is
Sometimes billing a CPT code isn’t hard. What’s hard is remembering the prerequisites for that code and other factors that affect the usage. CPT code 29848 is one such code. The definition and usage seem simple enough. However, applying it in real-world scenarios can be challenging. That’s why we have created this guide on what
Nursing homes are becoming more popular with the aging population. In 2020, the U.S. Centers for Disease Control and Prevention (CDC) reported that around 1.3 million people were enrolled in over 15,000 certified nursing homes. Now, there are over 25,000 nursing homes in the US. These centers provide skilled nursing, rehabilitation, and other services to
Most Common Nursing Home CPT Codes & SNF Billing Guidelines Read More »
Struggling to apply the correct Chronic Care Management (CCM) CPT codes for initial and extended care? Let us break down the differences so you can choose the right code for every situation. CCM services are a significant part of primary care. But did you know they are equally beneficial for both practices and patients? While
Chronic Care Management (CCM) CPT Codes & Billing Guidelines Read More »
“How confident are you about using the right Durable Medical Equipment (DME) codes? We all know that proper coding can save you from payment delays. But did you know that DME is usually covered by the Healthcare Common Procedure Coding System (HCPCS) instead of CPT codes? DMEs are primarily covered by HCPCS’ level II codes
Most Common DME HCPCS Codes and Billing Guidelines 2026 Read More »
Are you conducting a nuclear medicine test and totally unaware of its billing process? We have prepared a guide on the CPT code 78264 for you. This blog walks you through the code description, examples, applicable modifiers, and billing guidelines, helping you avoid denials. By the end of this guide, you will be able to
Are you one of the thousands of home health agencies striving to get the claims approved? The delay and denials may be the result of coding errors that occurred while reporting CPT and HCPCS codes for home health services. In this comprehensive blog, we will uncover the most frequently provided home health products and services
Home Health CPT Codes, HCPCS Codes and Billing Guidelines Read More »
If you have been handling coding for your practice for some time now, you must know that modifiers are integral two-digit codes helping you ensure coding specificity. However, what if we say that there is a modifier for multiple modifiers? Yes, you read it right! We are hinting towards modifier 99. While not always, but
