Panniculectomy Pays. Abdominoplasty Doesn’t.
Panniculectomy (15830) is covered when the panniculus impairs function. Abdominoplasty is cosmetic. The add-on +15847 is the line where covered claims turn into denials.
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10 Revenue Cycle Management Best Practices Revenue cycle management (RCM) is a key aspect of running any successful practice. It encompasses everything from scheduling and appointment booking to billing and payment processing – pretty important things if you want your practice to thrive! Effective RCM not only ensures the financial health of a clinic, but […]
Medical Billing Outsourcing: The Pros & Cons Medical billing – a very key component of practice management – is complex, and we all know the headaches of rejected claims, ensuring compliance, and the administrative strain that it puts on our practices. Outsourcing medical billing may be just the thing you need to improve your practice, […]
New Patient CPT Codes: A Guide for 2025 It’s no secret that medical billing and coding are an alway-changing landscape, making it essential to keep up-to-date with the latest changes for the health of your practice. The CPT (Current Procedural Terminology) codes related to new patients undergo updates once in a while, and these codes […]
The Change Healthcare Cyber Attack: What’s Going On? The recent cyber attack on Change Healthcare has sent ripples throughout the industry, raising concerns about the security of sensitive patient data and the resilience of healthcare IT infrastructure. Today, we’ll shed light on the ongoing situation, the efforts to mitigate the impact, and how this event […]
ICD-9 vs. ICD-10: Why The Change? ICD-9 was replaced in the USA with its much more capable younger brother, ICD-10, back in 2015. But why the change? How does it affect your coding? And why is it important to know the differences? Let’s dive into why ICD-10 is the current norm, why ICD-9 doesn’t cut […]
Modifier 22: What You Need To Know Modifier 22 is designated for services that require a considerably higher level of effort than normal. This could mean the particular service involves an increased duration, technicality, complexity, patient condition severity, physical and mental effort, or a different factor is beyond what is usually necessary for the given […]
CPT Code 99205: Optimizing Your Practice’s Billing in 2024 CPT code 99205 is used for new patient or outpatient visits that require a high complexity of medical decision-making and/or 60+ minutes of encounter time, providing clinics with a higher reimbursement rate than lower-level codes such as CPT code 99204. We’ll check out everything you need […]
CPT Code 99204: What You Need To Know In 2025 Today we’ll show you exactly what CPT code 99204 is, when to use it, and why you should use it. In turn, you can take better care of your patients and put more money in your pocket for doing the exact same amount of work […]
Navigating Skin Check ICD-10 Codes ICD-10 coding for skin checks can be a hassle, but accurate billing and coding is an essential part for both your reimbursement and patient care management – which all needs to be done in compliance with healthcare regulations. Sounds like a headache? Let’s check out how to navigate the tricky […]
CPT Code 99214: Don’t Miss Out On Getting Paid In 2024 A CPT code 99214 is indicated for an “office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making.” Basically, it’s an important CPT code for […]
