Choosing clinical software is one of the larger operational decisions a small practice makes, and it is harder than the marketing suggests. A solo family physician and a three-provider
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An ENT operative note may document multiple anatomical sites, various instruments, and several distinct surgical steps. Translating that record into a claim requires deciding which services stand alone, which
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A paid claim can still contain a billing error. A denied claim can be correctly coded. The medical billing audit process examines the evidence behind both outcomes by connecting
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Congenital heart defects are the most common birth defect in the United States. The CDC reported in February 2026 that they affect nearly 1% of births, roughly 40,000 infants
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Article Refresh Quarterly: This article is updated quarterly to reflect the latest CMS CPT code changes, reimbursement updates, and RCM best practices. Last reviewed for 2025 compliance standards. Quick Summary:
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Quick Intro: CPT is Current Procedural Terminology. It is a database of coding created & updated by the American Medical Association (AMA). Every 5 digits represent a specific service
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Quick Intro: For those providing care to patients, the quality of care is most important to the hospital or clinic. For the business side of the practice though, the
Read MoreQuick Intro: The importance of entity codes for medical billing is in the identification of the providers, facilities, patients, and health insurance plans which is essential to submit claims
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The demand for doula care in California has grown significantly over the past few years, especially after the state expanded Medi-Cal coverage to include doula services. This milestone has
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A radiology department sees the order come through: MRI, right shoulder, no contrast, rule out rotator cuff tear. The technologist knows exactly what to do. The coder still has
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