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
Ultimate Guide to CPT Code 78264 Read More »
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
What is Modifier 99 in Medical Billing? Read More »
Imagine you performed a comprehensive treatment for a procedure, but after a few days, the insurance payer sends the reimbursement check directly to the patient. While rare, this can happen. The reason? Failure to get a signed assignment of benefits from the patient. In this guide, we have simplified what assignment of benefits in medical
What is an Assignment of Benefits (AOB) in Medical Billing? Read More »
Did you know that many healthcare practitioners get confused when it comes to the timely filing limit and appeal filing limit? As if medical billing were not intricate enough on its own, the terminology mix-up further complicates things. The reason is simple. Timing is not just a metric. It is the difference between revenue and
Timely Filing Limit vs. Appeal Filing Limit for Billing Claims Read More »
Perhaps, among their non-clinical duties, the most taxing task for healthcare providers is claim submissions. Why? Because they have to be careful about small billing details, otherwise they face reimbursement denials. In 2025’s Experian Research, over 40% of providers said that at least 10% of claims are denied. This is a worrisome statistic for medical
Claim Submission in Medical Billing Read More »
Did you know that the insurance verification market size reached a valuation of $2.39 billion in 2025? Besides, it is predicted to grow to $3.4 billion in 2030 at a CAGR of 7.2%. Remarkable! Isn’t it? These numbers are enough to underscore the significance of insurance verification in healthcare billing. Thus, most providers prefer using
Top 10 Healthcare Insurance Verification Software Read More »
Did you know that there are approximately 162,644 active medical residents and fellows in the U.S.? Among these, 82.3% are enrolled in specialty programs, and 17.7% are enrolled in subspecialty programs. These residents are the future of the U.S. healthcare system. Acknowledging their crucial role, the Centers for Medicare and Medicaid (CMS) introduced special billing
What is the GE Modifier in Medical Billing? Read More »
