Author name: Addison Barnes

Yes, separate procedural codes are available for drug administration to ensure transparency and accurate payment against each rendered service. CPT code 96401 is one such code. You must understand its descriptor, applicable modifiers, clinical scenarios, and specific reimbursement guidelines to steer clear of denials and audits. This guide discusses all these for you! Thus, whether […]

Did the physical therapy evaluation you conducted involve highly complex decisions? You can bill it with CPT code 97163. With approximately 300 million annual therapy sessions, physiotherapists are highly valued in modern healthcare. In short, we know that you are an expert in diagnosing and treating injured or disabled people. But are late payments impacting

Dilation and curettage (D&C) is one of the most frequently performed invasive procedures in the United States. Usually, this procedure is conducted on both pregnant and non-pregnant women. However, CPT code 58120 exclusively deals with non-obstetric D&C for diagnostic and/or therapeutic purposes. In today’s guide, we have attempted to cover every crucial information that you

Just performed a limited obstetric ultrasound? Instead of billing it with a full scan code, use CPT code 76815. Ultrasound scans are effective for monitoring pregnancies. The World Health Organization (WHO), in fact, recommends these tests to all pregnant women before 24 weeks of gestation as a precautionary step.  Therefore, sonography is a fundamental part

A gynecologist’s job is not just to deliver babies but also to counsel patients on several contraceptive methods available out there. Each of these drugs has its unique benefits and associated risks. Thus, patients must be fully educated before they make the final call. Yes, it does add to the complexity of the overall care

Have you ever wondered why some family therapy sessions get reimbursed smoothly while others face constant denials and administrative headaches? The answer lies in minute details. Many billers treat psychotherapy claims in a generalized way. What they don’t realize is that even a minor difference in the services or circumstances requires an entirely different billing

The shortage of OBGYN staff and workload makes it more challenging for professionals to focus on billing and their services. We have decided to play our part while navigating these challenges. Claim denials usually occur due to negligence of minor details in claims. Therefore, this blog will explore all the details required for the billing

Have you ever faced denials for microsurgery insurance claims? You likely used the wrong add-on codes. CPT code 69990 is a frequently used add-on code for microsurgical procedures. It is particularly vital for neurosurgeries. Why? It is employed in complex neurosurgeries that have high reimbursement rates. One denial can significantly harm your revenue. That’s why

Picture this scenario: Dr. Smith’s neurosurgery practice just received another denial for a lumbar decompression procedure. The billing team is confused about the denial and can’t find the reason, because they filed everything perfectly. The documentation seemed complete, the procedure was medically necessary, yet the reimbursement never came through. Does this sound familiar to you?

Did you know that every 1 in 8 women lives with the chance of developing breast cancer once in their lifetime? And every 1 in 8 men will be diagnosed with prostate cancer once in their lifetime? Both cancers occur, and their growth is fueled because of male and female hormones. For this reason, a