If you bill Cigna for office visits, mark your calendar. Starting October 1, 2025, Cigna is rolling out a new reimbursement rule that lets the payer quietly cut your
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Starting December 1, 2025, UnitedHealthcare is denying more lab claims before they are ever paid. The insurer’s new Routine Laboratory Testing Policies add automated frequency limits, diagnosis-to-test alignment checks,
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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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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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Introduction Two things about 92507 are both true and a little maddening. It’s the code speech-language pathologists bill more than any other, and it’s the one that gets kicked
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Introduction A retinal OCT takes maybe two minutes to run. Coding it cleanly takes a good while longer to learn, and fumbling it can quietly drain thousands from a
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Intro A “limited” exam sounds like it should be the easy one to bill. It almost never is. CPT code 76705 the workhorse code for a focused abdominal ultrasound
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Introduction to CPT Code 36415 Some codes announce themselves. Others hide in plain sight, looking so ordinary that a busy coder waves them through without a second glance and
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