CPT Codes

Mammography is a crucial procedure for detecting breast cancer. However, do oncologists exclusively perform mammography for diagnostic purposes? The answer is NO! Physicians also perform mammography as a routine test on asymptomatic women. These screening mammographies help in identifying early signs of breast cancer, such as lumps, masses, and microcalcifications, especially in women who are […]

Medical billing is an essential component of the healthcare industry. If you own a practice for chiropractic services, you will also need to ensure accurate medical billing and coding for the fair and timely reimbursement of your services.  However, healthcare providers often try to avoid medical billing and claim submissions due to their complex nature.

Are you confident that your practice is getting the maximum possible reimbursement for the radiology claims? Probably not. Because 38% of the healthcare providers claim that every 1 in 10 claims is denied, this includes radiology service claims.  Medical imaging procedures, like magnetic resonance imaging (MRI), form the backbone of accurate diagnosis in modern healthcare.

Managing patients with multiple chronic illnesses is a key component of value-based care programs. It requires continuous, coordinated efforts that extend beyond traditional office hours and visits. The reason? Patients with several chronic conditions (e.g., diabetes, hypertension, arthritis, cancer, etc.) are at significant risk of death, acute exacerbation, decompensation, or functional decline.  Thus, these patients

Did a payer deny your 60-minute-long psychotherapy session? Your documentation for CPT code 90837 might be incomplete! The good news about mental health treatments is that they are becoming increasingly popular among people. Did you know that approximately 30% of American adults have sought therapy since 2020? The bad news? Mental healthcare is heavily regulated.

Is your chiropractic clinic struggling to document and justify CPT code 98941? Let us simplify this code for you! Every year, 35 million people in the U.S. turn to chiropractors for managing their pain. The most popular treatments? Spinal manipulation involving several regions! We know you might be an expert in this area, but your

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?