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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Quick 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 patient
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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
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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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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
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Quick 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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