CPT Codes

With over 1.2 million residents, nursing facilities have a sizable workforce in the U.S. However, billing is a major challenge due to the unique coding method. Coding for nursing facility care is divided into three parts: initial, subsequent, and discharge services. Each part includes several visits with varying complexities represented by different codes. Hence, even […]

Repeatedly using the wrong code for billing an acupuncture service? Use CPT code 97813 for an acupuncture with electrical stimulation! With only four specific codes, acupuncture billing should be very easy, right? However, it is quite the opposite. Many licensed acupuncturists often misreport their services due to a lack of coding expertise and knowledge. The

Every medical biller is aware of the importance of accurate coding for proper reimbursement. What happens if the healthcare provider has provided primary services, but the patient requires additional services? How will you bill this extra service? For these services, there are add-on codes. To put it simply, an add-on code is another billing code

Healthcare providers working with pediatric patients know the importance of comprehensive preventive care. The first year after birth is the most vital for patients. Any negligence in treatment or diagnosis can severely harm the child in the long term. However, pediatric preventive care is also a major source of revenue for healthcare providers.  In 2024

Unfortunately, only half of individuals with mental illness receive treatment. These numbers highlight a significant gap in care. However, with integrated psychiatric services, such as CPT code 90792, psychiatrists are at the forefront of closing this gap. This vital procedural code not only focuses on mental health evaluations but also emphasizes medical services.  Our billing

Without a doubt, accurate billing for a patient’s initial visit to a nursing home is critical for the practice’s financial health. However, with requirements centered on decision-making or specific visit duration, coding and documentation can be challenging and prone to errors. Therefore, our billing specialists have curated this detailed guide to cut through the confusion.

Are you one of the best pediatricians in town, but struggling with medical billing? Every medical specialty has its own designated CPT code set. Pediatricians have their specific CPT codes for preventive services, which are essential for insurance billing and reimbursement. Medical professionals must properly code each service to guarantee fair payment collection. However, there

Accurately billing for follow-up visits for a nursing home facility is an integral part of a provider’s revenue cycle. But unfortunately, the intricacies surrounding CPT code 99309 may lead to confusion and payment delays. These struggles range from documentation requirements to decision-making level, and time calculation. This guide provides a clear roadmap to the documentation,

Billing for preventive care visits can be confusing. There are very few clear guidelines on how to bill specific preventive medicine evaluation and management (E/M) services and their required documentation. One such code is CPT code 99394, which is frequently used in pediatric practices.  Due to limited guidance, many billers make mistakes while filing claims

Billing for well-baby visits, covered under CPT code 99391, is a critical part of ensuring a positive financial performance for your pediatric practice. However, it comes with its fair share of unique challenges. For instance, you must append an appropriate modifier and follow documentation requirements to ensure rightful and timely reimbursement. Without proper knowledge, errors