Author name: Addison Barnes

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

Confused between different Complete Blood Count (CBC) codes? Use CPT code 85027 for a test without an automated differential! CBC is the standard for assessing and diagnosing a wide range of medical conditions, including anemia and infections. CBC is, in fact, so common that healthcare providers perform over 500 million of these tests annually in

According to a report published by the Arkansas Department of Health in 2023, there are about 317 professionals for every 10,000 people. This is actually a healthy figure, and represents the good state of the healthcare sector in the state.  However, since there are many healthcare professionals in the state, the competition among them and

Sometimes, otolaryngologists must employ techniques that go beyond the use of a standard otoscope to ensure accurate diagnosis. When dealing with delicate issues, like a suspected tympanic membrane perforation, microscopic examinations with high magnification are often required.  Undoubtedly, this specialized service is essential for patient care. However, billing for this service is not easy and