Ask anyone who bills drugs without a dedicated HCPCS code, and they’ll tell you the same story. You submit under an NOC code, you wait, and half the time
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You did the visit. You documented it properly. The care was medically necessary and clinically sound. And Cigna still cuts your payment. That’s the reality practices are waking up
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The #1 trigger for Instant Denials The #1 trigger for Instant Denials is Missing or Inconsistent Diagnosis-to-Procedure Mapping. Meta title: Fix Diagnosis to Procedure Mapping: Stop Instant Denials. Meta
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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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