Quick Intro: The CPT Code 99214 deals with the established patients’ visits that involve 30-39 minutes of provider time or the decision making required is at a moderate level.
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Quick Intro: Health insurance claim denials are a routine and expensive part of modern healthcare. When a claim is denied, the insurer refuses to pay for part or all
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Essential RCM Knowledge: This comprehensive guide explains the critical differences between reversals and recoupments—two billing adjustment processes that impact healthcare provider revenue cycles differently. Understanding both is essential for maintaining
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Comprehensive Billing Code Guide: This article covers PRRJK code, PR denial codes (PR-1, PR-2, PR-3), J codes (HCPCS Level II), and EOB group codes (CO, PI, PR, OA). Includes practical
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Latest Update: CMS finalized the 2026 Medicare Physician Fee Schedule, implementing the controversial -2.5% efficiency adjustment, facility-based payment reductions, and Medicare Advantage plan exits. This article reflects the final rule
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Critical Appeals Terminology: This comprehensive guide explains what “appeal overturned” means in medical billing context, how it differs from other appeal outcomes, and what to do when your appeal is
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Selecting an Electronic Health Record (EHR) or Electronic Medical Record (EMR) system is critical to small medical practices. The optimal software is regulatory compliant, and improves patient care and
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Quick Summary: Accurate medical coding is the foundation of a healthy otolaryngology practice. Yet, the complexity of ENT procedures often leads to billing errors that can jeopardize revenue
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Quick Intro: For many people in healthcare, the word audit is scary. It makes them think of inspectors, large fines, and stressful problems. But what if you
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Quick Summary: The CPT code 93303 is transthoracic echocardiography (TTE) with Spectral and Color Flow Doppler for congenital heart, defects/conditions. Although this TTE code like other echocardiography codes has
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