Executive Summary for Practice Managers Short on time? Here are the 5 critical takeaways to protect your revenue in 2025: The Code: The gold standard diagnosis is L91.8 (Other hypertrophic disorders of
Read MoreQuick Intro: While the last guide analyzed medical billing for larger practices, this guide explores the last area of medical billing for small/solo practices. This guide will analyze
Read MoreQuick 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.
Read MoreQuick 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
Read MoreEssential 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
Read MoreComprehensive 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
Read MoreLatest 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
Read MoreCritical 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
Read MoreQuick Intro: 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
Read MoreQuick 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 and
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