Blog

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 […]

OPTING OUT OF MEDICARE – WHAT DO I NEED TO KNOW? All Medicare beneficiaries have the right to choose their own doctors and other healthcare providers. But if you are a physician who has opted out of the Medicare program, there are a few things you should know. First of all, what does it mean to opt […]

1. Women’s Health Rights and Cancer Act – you are protected folks.  This is a Federal Mandate.  So all the games insurance companies play hold even less water here.  You are protected for reconstruction (or not) at ALL STAGES including the contralateral breast.  The language of the mandate doesn’t answer every question or address every […]

THE QUESTION: THE PATIENT HAD TOLD ME THEY’RE OK MOVING FORWARD COSMETIC AND HAVE NOW BILLED THE INSURANCE COMPANY ON THE BACKEND, FORCING US INTO THE BILLING PROCESS. ANY WAY TO AVOID THIS IN FUTURE? We were asked a really good question about insulating against patients submitting self-pay cases to their insurance after the fact- […]

THE QUESTION: I HAVE A PATIENT IN NEED OF SURGERY WITH WORKMAN’S COMP COVERAGE (WC). WILL I GET COMPENSATED FOR THIS? SHOULD I CONTINUE TO TAKE WC? THE ANSWER Will you be compensated? The short answer is yes. WC is not a network-based coverage plan.  So long as they has a claim number from her […]

WHICH PLASTIC SURGERY PROCEDURES ACTUALLY PAY (THROUGH INSURANCE)? As a plastic surgeon, it’s likely that you got into this field because you like to help people.  But, realistically, you can’t help every person that walks through your doors and still keep the lights on. To run a successful practice, you have to keep an eye […]

So you’re a plastic surgeon or dermatologist, and you’re ready to take the next big step in your career. You’ve got some experience under your belt and you’re pretty good at what you do, so the next logical step is starting your own practice. (I mean, who doesn’t want to be their own boss?) You’ve […]