CPT Codes

Struggling to apply the correct CCM CPT codes for initial and extended care? Let us break down the differences so you can choose the right code for every situation. Chronic Care Management (CCM) services are a significant part of primary care. But did you know they are equally beneficial for both practices and patients? While […]

2024 has brought many interesting changes, especially in the code set for speech therapy. From eliminating CPT code 92506 and replacing it with four new specific evaluation codes to allowing speech therapists to bill for caregiver training in the absence of patients, the AMA offers a more direct approach toward reimbursements. However, there is one

Around 14% of patients discharged from hospitals are readmitted within 30 days, and it costs U.S. taxpayers more than $52.4 billion per year to care for the readmitted patients. The U.S. Centers for Medicare and Medicaid Service (CMS) has implemented several programs to reduce the readmission rate of Medicare beneficiaries. Transitional Care Management (TCM) is

Terminally ill patients often rely on hospices to manage their pain and symptoms. However, a day or two in such facilities can cost hundreds of dollars. Therefore, around 1.7 million US citizens are enrolled in Medicare’s hospice program each year to receive affordable end-of-life care. So, how do hospices receive reimbursements? Hospice care specialists use

How confident are you about using the right DME codes? We all know that proper coding can save you from payment delays. But did you know that durable medical equipment (DME) is usually covered by the Healthcare Common Procedure Coding System (HCPCS) instead of CPT codes? DMEs are primarily covered by HCPCS’ level II codes

The U.S. Centers for Disease Control and Prevention (CDC) reports that 11 million Americans over the age of 12 need vision correction. In another report, the CDC found that cataract is the leading cause of blindness in the USA, and around 20.5 million Americans aged 40 and above have cataracts in one or both eyes. 

Billing tasks can become much easier if you know your codes. But how can you do that with so many procedures, complex situations, coverage exceptions, and rules? It is common knowledge that nephrology focuses on diagnosing and treating kidney diseases. It has evolved into a major internal medicine specialty and continues to grow due to

Are you following the latest pathology coding guidelines? Or is your revenue slipping through your fingers due to coding errors? Pathology acts as a bridge between science and medicine. It provides diagnostic information about patients so healthcare providers can offer the correct treatment. Unfortunately, many pathology labs have to absorb the financial impact of an

Treating patients with substance use disorders is taxing, especially when the relapse rate is between 40% and 60%. But what can really sink your ship is the never-ending rehab billing workload. You must file accurately coded, completely documented, and regulatory-compliant medical claims to collect reimbursements for the rendered care services. Hence, a thorough understanding of

Are you missing reimbursement opportunities due to coding mistakes? You might not realize it, but an improper coding process can damage a practice’s revenue stream and affect its daily operations. While podiatry is a less stressful specialty compared to others, it has high denial rates due to complex coding requirements. Coverage restrictions, frequent use of