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November 30, 2025

If you’ve billed E/M codes long enough, you already know one thing: 99214 is the backbone of outpatient revenue. It sits right in that sweet spot—complex enough to pay well, but common enough that providers use it every single day. The problem? It’s also one of the most audited, most downgraded, and most misunderstood CPT […]

November 24, 2025

Medical billing is far more complex than submitting a claim with a CPT code. Behind every hospital or facility bill is a system that categorizes services accurately, assigns charges, and ensures proper reimbursement. One of the most essential tools in this system is the revenue code. If you’ve ever looked at a hospital bill and […]

November 21, 2025

If you’ve ever tried to bill ADHD correctly, you already know the struggle. ADHD itself is easy to diagnose clinically, but picking the right ICD-10 code is where the headaches begin. Every insurer wants clean claims. Every denial feels like a personal attack. And every coder has a moment once a week where they stare […]

November 17, 2025

Vaccines are the unsung heroes of preventive medicine, keeping millions safe every year. But for clinics and healthcare providers, the administration side—billing, coding, and getting reimbursed properly—can be a real headache. Enter CPT Code 90471, one of the most common codes in immunization billing. Understanding how to use it correctly isn’t just about compliance it’s […]

October 27, 2025

If you’ve been in medical billing long enough, you’ve probably had that frustrating moment — a claim gets denied, you check the EOB, and there it is: CO-252 staring back at you. This one doesn’t say “not covered” or “invalid code.” It says something even more annoying: “An attachment or other documentation is required to […]

October 22, 2025

If you’ve been in healthcare billing for even a short while, you’ve probably seen Modifier 59 pop up — often followed by a denial letter from Medicare or a commercial payer that says something like: “Services bundled per NCCI edits.” Sound familiar? That’s where Modifier 59 steps in — one of the most misunderstood, misused, […]

October 6, 2025

Wound care is one of the busiest areas in healthcare, especially for primary care clinics, wound centers, podiatry practices, and home health agencies. Providers see everything from traumatic cuts to chronic diabetic ulcers that take months to heal. However, while delivering wound care is fairly straightforward, getting paid for it can often be a headache. […]

October 1, 2025

Skin tags may be small and harmless, but when it comes to medical billing , they can cause surprisingly big headaches. Most providers are aware of the prevalence of skin tags—patients request removals every day in primary care and dermatology settings—but not every removal is billable. Payers want to know whether the procedure was medically […]

August 25, 2025

Ever wondered why it takes forever for a new doctor to start seeing patients at your clinic? Or why did your insurance company deny that perfectly valid claim? The answer lies in credentialing—the unsung hero of healthcare administration. Think of it as a super-rigorous background check that ensures providers are qualified to practice and get […]

August 17, 2025

Consider you’ve just finished seeing a patient for a follow-up on hypothyroidism. Labs are stable, meds are adjusted, and your EHR auto-fills “E03.9 – Hypothyroidism, unspecified.” You click submit, move on with your day… and a few weeks later, the claim comes back denied. Sound familiar? Hypothyroidism is one of the most common endocrine disorders […]

August 14, 2025

Billing for psychotherapy isn’t just about putting numbers on a claim form—it’s about selecting the correct CPT codes to reflect the service provided accurately. Whether you’re a psychologist, psychiatrist, social worker, or counselor, correct coding ensures you get reimbursed properly and stay compliant with payer requirements. This guide walks you through the main psychotherapy CPT […]

August 7, 2025

If your practice bills Medicare for services provided by non-physician practitioners (NPPs) — like nurse practitioners, physician assistants, or clinical nurse specialists — then you’ve probably heard of “incident-to” billing. But let’s be honest, the rules around it aren’t exactly easy reading. One missing signature or documentation error, and you’re looking at denied claims, audits, […]