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January 6, 2026

Revenue cycle management (RCM) for podiatry is more than “enter diagnosis and hit send.” It’s a specialized system with unique coding nuances, payer rules, documentation standards, and compliance hurdles. Errors here don’t just slow down cash flow they cost practices substantial revenue, staff time, and compliance risk. According to CMS, Medicare Fee-for-Service data, improper payment […]

January 2, 2026

Manual therapy is one of the most valuable tools in a therapist’s skill set. CPT code 97140 is frequently used across physical therapy, occupational therapy, and rehabilitation settings, yet it remains a top source of denials, bundling issues, and underpayments. The reason is simple. Payers do not deny 97140 because it is wrong. They deny […]

January 2, 2026

Outpatient mental health practices sit at the center of a growing healthcare need. Therapy clinics, psychiatry offices, and behavioral health centers are treating more patients each year. Demand keeps rising. At the same time, reimbursement pressure continues to tighten. This creates a tough reality for providers who want to focus on care but must also […]

December 27, 2025

Revenue problems rarely start with poor care. They begin when excellent care is not translated into a billable language that insurers can understand. That gap between what happens in the exam room and what gets reimbursed is where most practices quietly lose money. This is exactly where the superbill comes in. A superbill is not […]

December 22, 2025

Mental health practices face unique challenges in billing and revenue cycle management. Unlike many other specialties, behavioral health billing involves complex payer rules, time-based codes, evolving telehealth regulations, and a high potential for claim denials. Even a small mistake such as incorrect coding, missing documentation, or an overlooked payer requirement can delay payments by weeks […]

December 17, 2025

Therapeutic exercise is a cornerstone of rehabilitation care and CPT 97110 is one of the most frequently billed therapy codes in outpatient settings. It’s also one of the most misunderstood and closely audited. At first glance, CPT 97110 seems straightforward: exercises to improve strength, range of motion, or flexibility. But payers don’t reimburse based on […]

December 15, 2025

Mental health services are essential but getting paid for them depends heavily on accurate CPT coding, correct time reporting, and strong documentation. Even small mistakes can lead to denied claims, underpayment, or compliance risk. Because mental health billing rules differ from many other specialties, providers and practices need a clear understanding of which CPT codes […]

December 12, 2025

Chest pain is one of those symptoms that walks into every type of clinic primary care, urgent care, cardiology, internal medicine, and especially the ER. And while the clinical side focuses on stabilizing the patient, the billing side faces a very different challenge: accurately and confidently coding chest pain in accordance with payer rules. The […]

December 10, 2025

CPT 99213 looks simple at first. You see it everywhere. Primary care uses it all day. Urgent care relies on it. Specialists drop it into claims without a second thought. It is the everyday workhorse code for established patient visits. Even then, it still manages to confuse people. Providers wonder whether the visit is at […]

December 7, 2025

Hyperlipidemia commonly referred to as high cholesterol is one of the most prevalent metabolic disorders encountered in primary care and cardiology practices. It plays a central role in cardiovascular risk, contributing to heart attacks, strokes, and peripheral vascular disease if left unmanaged. Despite its prevalence, many providers struggle with proper documentation, coding, and billing, which […]

December 4, 2025

Anemia looks simple on paper low hemoglobin. Prescribe iron maybe order labs. Maybe give an infusion. Done right? Not even close. From a billing standpoint, anemia is one of the most audited, denied, and underpaid diagnoses in outpatient medicine, nephrology, oncology, and infusion services. The reason is simple: Anemia is rarely the “real” diagnosis. It’s […]

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 […]