Author name: Addison Barnes

Without a doubt, accurate billing for a patient’s initial visit to a nursing home is critical for the practice’s financial health. However, with requirements centered on decision-making or specific visit duration, coding and documentation can be challenging and prone to errors. Therefore, our billing specialists have curated this detailed guide to cut through the confusion. […]

Are you one of the best pediatricians in town, but struggling with medical billing? Every medical specialty has its own designated CPT code set. Pediatricians have their specific CPT codes for preventive services, which are essential for insurance billing and reimbursement. Medical professionals must properly code each service to guarantee fair payment collection. However, there

Accurately billing for follow-up visits for a nursing home facility is an integral part of a provider’s revenue cycle. But unfortunately, the intricacies surrounding CPT code 99309 may lead to confusion and payment delays. These struggles range from documentation requirements to decision-making level, and time calculation. This guide provides a clear roadmap to the documentation,

Billing for preventive care visits can be confusing. There are very few clear guidelines on how to bill specific preventive medicine evaluation and management (E/M) services and their required documentation. One such code is CPT code 99394, which is frequently used in pediatric practices.  Due to limited guidance, many billers make mistakes while filing claims

Billing for well-baby visits, covered under CPT code 99391, is a critical part of ensuring a positive financial performance for your pediatric practice. However, it comes with its fair share of unique challenges. For instance, you must append an appropriate modifier and follow documentation requirements to ensure rightful and timely reimbursement. Without proper knowledge, errors

Acupuncture is a traditional Chinese method for healing or relieving pain, and ranks as the 11th most popular complementary health approach. It is rapidly gaining acceptance in the United States. However, despite the increase in its adoption, most acupuncturists struggle with its billing, especially during CPT coding. Using accurate CPT codes is essential to collect

Undoubtedly, billing for digital breast tomosynthesis (CPT code 77063) can be a significant challenge for many radiology centers and radiologists.  It is an integral procedure when it comes to taking preventive measures for breast cancer. It offers superior accuracy in detecting abnormalities. However, errors while reporting this code can disrupt your practice’s revenue cycle. From

Understanding and reporting therapeutic activities and following their billing and reimbursement guidelines is not an easy feat. The processes demand attention to detail and significant time to avoid potential denials and ensure accurate reimbursements. Some common errors that lead to denials related to CPT code 97530 are the incorrect application of time-based rules, non-compliance with

Do you know that mental health conditions have become a significant healthcare issue in the United States? In just 2022 alone, there were about 59.3 million people in the country with mental illness. This is a point of concern for both the patients and healthcare providers. More patients mean more insurance claims. And a higher