CPT Codes

Medical code selection requires keen attention as it must accurately and precisely define the rendered procedure for fair reimbursements. If the available codes fail to describe a specific procedure completely, then there are various modifiers to assist coders. But, overusing modifiers can also backfire and may lead to audits. All these intricacies keep healthcare providers […]

A study published by The Lancet Neurology journal and cited by the World Health Organization (WHO) found that 1 in 3 people in the world (over 3 billion people!) are living with a neurological condition that increases their risk of disability, illness, and premature death.  In the United States, stroke, dementia, migraine, and Alzheimer’s disease

Do you find it difficult to bill E/M services? Many physicians face the same problem. The main reason? Evaluation & Management (E/M) services are primarily cognitive, meaning they involve intangible processes, such as diagnosing patients and making medical decisions. Insurance companies require comprehensive documentation to evaluate the level of each E/M service you have provided.

Medical coding is like a puzzle with a thousand pieces! When you first start to understand it, everything overwhelms you! A flood of questions arises in the mind, like which code to choose? Is it specific? Do I need to add a modifier? Is there another code that more accurately defines the rendered procedure? Or

Hematology coding is not a piece of cake! The specialty has various procedures, some related to laboratory testing where a blood sample is drawn and examined, and some related to blood transfusion and bone marrow! If you are feeling lost among all these hematology CPT codes and need help, this guide is for you! Our

In the world of medical billing and coding, five digits and their accurate usage decide if you will get reimbursement for the care you offered to your patient or if it will be recorded as another write-off in your ledger. We are talking about CPT codes that effectively capture the services and procedures you render

Choosing the accurate code from so many thoracic surgical procedure codes can be overwhelming! But not if you carefully review the descriptors of the CPT codes and pick the ones that describe the rendered services precisely. Yes, we understand that for some thoracic surgeons, trying to handle their medical billing activities, such as charge entry

Are you familiar with the specific diagnostic codes for rheumatology? The billing process for rheumatology is as complex as rheumatology conditions. Insurance companies require you to be always ahead of two things, frequent regulatory changes and documentation requirements, to collect complete payments. The most difficult part? Accurate coding! Rheumatologists diagnose and treat various conditions, each

Federally qualified health centers (FQHCs) act as a safety net for underserved areas or populations. These healthcare facilities are mostly funded. Federal insurance plans such as Medicare and Medicaid cover the medical and mental health services provided at these health centers. Moreover, some third parties, like Preferred Provider Organizations (PPOs), Health Maintenance Organizations (HMOs), and

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