CPT Codes

Rising above the complex laboratory billing requirements and ensuring accurate reimbursements can be a significant challenge. Even services like complete blood count (CBC) come with intricate coding and billing guidelines. Non-compliance with these can lead to denials and revenue leakage.  Therefore, mastering bundling rules, understanding medical necessity, and appending appropriate modifiers are integral. This guide […]

As a healthcare provider, diagnosing a condition or prescribing a medicine without a proper blood test is like taking a shot in the dark. Blood tests are helpful in precisely identifying the real cause of certain diseases, and the basic metabolic panel (BMP) is one of them. This comprehensive test provides important information about a

Radiology billing is trickier than other specialties. It requires attention to detail, several documents, and prior authorizations. In short, it is hard to bill, and many billers face denials for their claims.  A frequently used code in radiology billing is CPT code 72148. This code is particularly challenging to bill. Why? Because of its extensive

Be it illness, disability, or death, chronic diseases are to be blamed. What’s worse is that 4 in 10 people in the U.S. have two or more chronic diseases. So, what can healthcare providers do to reduce the burden these chronic conditions pose on the healthcare system, from emergency visits to hospitalization and body preparation?

Don’t know what you are doing wrong when billing for a computed head or brain tomography? Follow our billing guidelines! CT scans are one of the most common diagnostic assessments in the U.S., accounting for around 5% of all new cancer diagnoses. These tests are, in fact, so popular that in 2023 alone, 93 million

Don’t know the right code for a manual urinalysis? We have got you covered! Urinalysis is one of those routinely performed tests. Typical reasons? It detects a wide range of conditions and is also a valuable tool in preventive care. So, we can safely assume that you know your way around its different components and

Facing coverage issues for the general health panel? Many payers no longer cover CPT code 80050! Bundling is a common practice in medical billing. Healthcare providers often bill several similar procedures under a single code. It is convenient, time-saving, and cost-effective! However, it is often subject to payer regulations and must be medically necessary. So,

Do you wish to offer healthcare services without getting paid for them? No? Exactly, no one wants to remain unpaid or receive less compensation after providing complete services. Applying wrong CPT codes usually results in denials, causes late payments, and sometimes no payment at all. Hence, all healthcare providers must apply correct CPT codes on

Healthcare providers frequently face coding issues in the realm of medical billing! So, if you are a healthcare provider or a member of the billing team, our series on various CPT Codes will prove to be a go-to resource for clearing up the coding confusion. In today’s guide, we will cover an ENT procedural code. 

Did you know that the medical specialty of radiology has the third highest claim denial rate? According to a survey, the claim denial rate for radiology services is 20% whereas the average denial rate for all specialties combined is between 5% and 10%. And do you know what typically causes these denials? The real culprit