A pediatric speech-language pathology practice in Texas can be full, have a clean schedule, and still not get paid by Medicaid for months. Therapy is good. It’s the paperwork
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Since Jan. 1, 2023, Medi-Cal has covered doula care. After three years, the benefit pays a doula up to $3,152.65 for a single vaginal birth client under the fee-for-service
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The cause of a chest CT scan requested to monitor a lung nodule and billed as a screening scan will typically be found in a single code choice. The
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The A1C test CPT code seems to be the easiest line on a lab claim. One code, one outcome. But that simplicity is also why mistakes go unnoticed until
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Administering an epidural can take less than a minute, but untangling the denial for the injection can take much longer. Pain management practices bill CPT Code 62323 from time
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40 mg injection can be paid in full or denied back. Often it’s just one incorrect billing unit. Drug claims are more money per line than almost anything else
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Most practices don’t lose money on big procedures. They lose it on the 99213 that should have been a 99214, repeated forty times a week. That is the cost
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A CMP is a ten-dollar claim that can quietly cost a practice thousands a year. The payment is small. The denials are not. For those of you who came
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Hospital clinics bill G0463 every day, but many are paid less than they should be. It’s simple code: one clinic visit, one facility charge. Then a payer asks for
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Denial of claims for skin lesion removal is one of the most subtle cash leaks in outpatient dermatology and primary care practices. Providers do minor lesion destructions, file claims
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