CPT Codes

Plastic and reconstructive surgery medical billing is more complex than other specialties. Most of the time, cosmetic procedures are non-reimbursable by insurance companies (Medicare, Medicaid, and other private payers). This issue mostly arises due to insufficient supporting documentation justifying the medical necessity and appropriateness of the performed surgical procedure.  If you are tired of the […]

The demand for neurosurgeons is surging in the USA as the population ages and risks developing chronic subdural hemorrhage (SDH). Researchers at the NYU Langone Medical Center anticipate that by 2030, 60,000 Americans over the age of 65 will develop chronic SDHs, leading to a shortage of neurosurgeons across the country. Currently, there is one

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

It all begins with a simple coding error, and your hard work becomes meaningless. While Remote Patient Monitoring (RPM) does not have a large code set like others, some of its codes are add-ons. You know what that means? They cannot be billed separately! Don’t know how to bill add-on codes correctly? Let us help

Remote patient monitoring (RPM) or remote physiological monitoring gained traction in 2020 with the onset of the pandemic. Medicare was the first to cover it, and soon, Medicaid followed suit. Currently, Medicaid covers RPM in 42 states across the nation. Besides, many commercial payers within their telehealth coverage policies are covering RPM. The Current Procedural

Is CPT code 97150 as simple as it looks? Or are there any hidden details that you should be aware of? Many healthcare providers, including physical and occupational therapists, offer group therapy to people with similar conditions. In fact, it is sometimes more effective than individual counseling sessions. Unfortunately, due to unique coding requirements, many

How often do you update or review your EMS coding knowledge? Emergency Medical Services (EMS) require specific codes, especially for ambulance transportation. Unfortunately, emergency medical technicians (EMTs) make frequent coding mistakes due to various factors, including incorrect or missing documentation, time constraints, lack of coding experience, and numerous policy updates, which result in claim denials. 

Did you know that every 40 seconds, someone in the USA experiences a stroke? That’s around 800,000 people in a year! Strokes or brain attacks are one of the most common medical conditions in the country. Those who survive may be left with permanent brain damage, affecting their performance at work and conduct in social

New Year, New CPT! It is the motto the American Medical Association (AMA) lives by. Every year, the association revises its standardized list of CPT codes to keep up with the advancements in medical procedures, practices, and technology. These changes become effective on January 1 each year and include additions of new codes, deletions of

There are two aspects of remote patient monitoring. First, it helps providers take a preventive approach rather than reactive with early detection of potential health issues. Second, when applied and billed accurately, it acts as an added revenue stream, enabling practices to experience greater financial success. However, like any other program, providers must understand it