CPT 15830: Complete Guide to Billing CPT 15830 is the code for the removal of excessive abdominal skin and fat below the belly button, known as an infraumbilical panniculectomy.  This procedure is often performed after significant weight loss or when an abdominal pannus causes medical issues such as infections, rashes, or difficulty with mobility. Insurers […]

Out-of-Network PPO Patients & The No Surprises Act: The Only Guide You Need Out-of-Network PPO Patients & The No Surprises Act Insurance billing is about as fun as dental work without anesthesia. Out-of-network (OON) PPO benefits? Even murkier. Luckily, federal law—the No Surprises Act (NSA)—finally tilts the scale in your favor (sometimes). This guide lays […]

CC Services QA: Your No-Nonsense Guide to Payer Contracting Where Do I Start? Let’s start with your strategy. We have to decide who you want to get in-network with and why! Should I Take Medicare? Medicare is a major government payer serving largely the 65+ age range. So, if you’re serving a population even partially […]

CPT 15839: What You Need to Know If you work in medical billing or run a practice that offers plastic or reconstructive surgery, you’ve probably come across CPT 15839.  And like most CPT codes, it’s more than just numbers, getting it right can mean the difference between reimbursement and denial.  Here’s a complete breakdown of […]

Plastic & Reconstructive Surgery Billing Services Billing for plastic and reconstructive surgery isn’t straightforward.  Unlike other specialties, surgeons here deal with both cosmetic procedures and reconstructive cases.  Insurance carriers demand strong proof of medical necessity, pre-authorizations are frequent, and coding mistakes can lead to costly denials.  Practices that don’t specialize in this type of medical […]