Billers who work Aetna claims for behavioral health services run into the same question within their first few months on the job: does Aetna actually follow Medicare’s incident-to rules,
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Diagnostic upper endoscopy is one of the highest-volume procedures in gastroenterology, and CPT code 43235 is the code that carries it. It is also one of the easiest codes
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A biller who has never touched an orthopedic claim can still recognize CPT code 27447 by reputation alone. It is one of the highest-volume procedure codes in the Medicare
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Medicare Part B paid $406.7 million for the Comprehensive Metabolic Panel in 2024, making it the second-largest lab expenditure of the year behind a genetic test for infectious agents.
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Compliance in healthcare is a distinct term; one may even say it is confined to a box. It’s about adhering to all applicable laws, policies, and regulations that govern
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Mental health counseling clinics face challenges that go far beyond providing patient care. What if nearly one in three claims your practice submits gets denied before a single dollar
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Transesophageal echocardiography is a routine procedure attached to an unusually fragmented code set. The TEE CPT code family splits a single exam into components, keeps separate codes for congenital
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Michigan home health agencies bill under some of the most procedural payment rules in American healthcare. Medicare pays in 30-day periods under the Patient-Driven Groupings Model, Michigan Medicaid rejects
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Introduction Taking the billing of chest X-rays easy, but it’s not one wrong CPT code can cost you the whole claim. One overlooked detail, just like the wrong view
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Introduction Skin Tag Removal sounds like the simplest thing a clinic does all week. A Patient Walks in with a Few soft Flesh-colored Growths Tucked into a skin fold
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