Did you perform an extracapsular cataract extraction via ultrasonic waves and end the procedure with intraocular lens (IOL) insertion? Use CPT code 66984 to bill for the procedure! A cataract, the clouding of the natural lens, is a common age-related eye condition. In fact, it is so common that more than half of all people […]
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Contact lens fittings can feel like performing precision surgery on the most delicate part of the human body. The same is true when it comes to their billing. Ever wondered why it is so hard to file claims for eyewear fittings and why ophthalmology practices face high denial rates? Well, the short answer is billing
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Nearly 555,000 people in the United States are on dialysis, making dialysis billing key to a practice’s revenue success. However, dialysis billing is challenging to master, even for the most experienced billers. Why? Because often, situations arise where standard dialysis CPT codes cannot accurately describe the provided services. This makes fair reimbursement collection difficult because
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Healthcare billing can be a real headache, especially when it comes to coding joint surgeries. Knee Anterior Cruciate Ligament (ACL) surgeries are particularly tricky to code correctly, despite being one of the most frequently performed major surgeries in the United States. Plus, their reimbursement rate is also very high. So, healthcare providers can’t afford to
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Looking to report an intermediate joint aspiration or injection without ultrasound guidance? You can use CPT code 20605! Let’s be real; coding for joint aspiration or injections is quite complicated. With so many options, you cannot just pick a code and hope for the best. For timely payments, you must understand the key difference between
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As the most populated city in Pennsylvania, Philadelphia’s healthcare landscape stands out due to its top-tier facilities. In fact, some of its institutions, such as the Hospitals of the University of Pennsylvania-Penn Presbyterian, are recognized throughout the country, ranking among the top options for adult specialties. But we all know how it goes! A high-performing
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If you have ever had a discussion with medical billers, you will know that most of them agree on one thing: that billing of laboratory tests is one of the most complex. Why? Because laboratory testing is needed in almost all medical specialties. Hence, a large pool of CPT codes, ICD-10 codes, and modifiers must
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In the field of orthopedic surgery, treatment often involves internal implants to ensure proper recovery. But what happens once those skeletal parts are perfectly aligned and healed? Their surgical removal becomes necessary. However, this procedure has its own set of billing and coding complexities. For orthopedic practices performing these procedures, capturing every detail is critical
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The medical billing industry in the United States has experienced remarkable growth. As per the latest data, the medical billing market cap in 2024 was around $6.28 billion, and this is expected to increase to $12.26 billion by 2030. This indicates the growing reliance of healthcare providers on billing companies. However, there are now thousands
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Receiving denials for incorrectly using modifier 90? You are not the only one! Many healthcare providers experience this problem when they submit claims for services referred to an outside laboratory. The reason? Ignoring payer guidelines! As a result, their administrative staff face extra pressure and have to spend extra time correcting errors and chasing denials.
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