CPT Codes

With so many procedural codes and their specific reimbursement guidelines, medical coding is hard to follow. Thus, we thought of extending a helping hand to healthcare providers struggling to manage their practice’s financial activities while providing quality patient care. How? By starting a series of blogs to educate practitioners on different codes.  This guide is […]

Just another day, just another code to demystify! Such is the life when it comes to medical billing. But with us by your side, perplexity is transformed into mastery as we unlock the wonders of medical billing, code by code.  It is time to explore the depths of CPT code 97750, which has rightly become

How often have you come across CPT code descriptions that have left you in utter confusion? Selecting the most appropriate CPT code from a vast code set is challenging, especially when minor and often unnoticeable differences make them distinct from one another. The situation with Orthotic Management and Training and Prosthetic Training codes 97760, 97761,

Are you confusing emergency codes with urgent care? While they might seem similar, ER E/M codes should never be used for urgent care services. Gaps in primary care, expensive emergency department visits, increasing healthcare demands, and investments have made walk-in clinics more popular. In fact, the number of urgent care centers has nearly doubled over

With thousands of CPT codes available for different categories, anyone can feel overwhelmed. However, accurately coding procedures is one of the important metrics to ensure timely reimbursements and avoid claim denials. That’s why most healthcare facilities opt to outsource the medical billing and coding to professionals.  But, if you want to handle the financial side

You must have scheduled evaluation and management (E/M) visits for new and established patients frequently in your career. For that, your go-to CPT code ranges must have been 99202-99205 and 99212-99215. But what about CPT code 99211, which sits right at the top of the established patient CPT code range? If you are as intrigued

Various sources have reported that the rate of claim denials for pediatric services is one of the highest among all medical specialties. According to the American Academy of Pediatrics (AAP), the average claim denial rate for pediatricians is 13%, whereas the overall denial rate in the healthcare industry is 5-10%.  Unfortunately, many of the claims

Otolaryngology is a specialized medical field focused on the ears, nose, and throat (ENT). Hence, otolaryngologists are also called ENT specialists and train in both medicine and surgery. While this specialty offers a better work-life balance than others, it is still quite demanding. Otolaryngologists spend considerable time on administrative tasks – around 14 hours per

Chronic diseases are a prevailing issue in the United States, as 6 in 10 people are suffering from at least one chronic condition. Thus, in 2015, the Centers for Medicare & Medicaid Services (CMS) introduced a value-based care program, chronic care management (CCM). The CPT code 99490 is a procedural code that you can report

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