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You know what’s more complicated than medical billing? Explaining it to someone who’s never seen an EOB (Explanation of Benefits). But buckle up, because the next generation of billing tech is about to make that complexity look like child’s play — or, better yet, make it disappear. The world of healthcare billing is evolving faster […]

Medical billing services for small practices help independent doctors and clinics manage claim submissions, payments, and denials so they can focus on patient care instead of paperwork.  Outsourcing these services improves cash flow, reduces overhead, and provides access to billing experts without adding staff. The Hidden Struggle of Small Medical Practices Running a small medical […]

CPT 15877 Overview Procedure: Suction-assisted lipectomy (liposuction) of the trunkCategory: Integumentary system – Other Repair (Closure)Typical Use: Liposuction of abdomen, flanks, or backGlobal Period: 90 daysCommon Modifiers: 59, 51, 22, 50, 52 What Is CPT 15877? CPT code 15877 describes suction-assisted lipectomy of the trunk, the medical term for liposuction of areas like the abdomen, […]

If you code or bill for reconstructive or plastic surgery procedures, accuracy can make or break your claims.  CPT 15832, excision of excessive skin and subcutaneous tissue (includes lipectomy); thigh, is one of those codes that looks simple but requires precision to document and bill correctly. This guide from The Auctus Group breaks down CPT […]

Eloisa Ylanan – Operations Coordinator Dinner with Anyone, Ever? Albert Einstein. Eloisa isn’t trying to solve quantum physics, but she is solving daily chaos like a pro. She admires Einstein’s ability to question everything and think outside the box—two traits that come in handy when managing portal requests and tackling unexpected curveballs. She’d pick his […]

Denials in Medical Billing: Causes, Codes, and How to Fix Them Every denied medical claim costs time, money, and resources.  Denials in medical billing can disrupt cash flow, increase administrative work, and leave patients frustrated when services aren’t covered as expected. Recent studies show that nearly 12% of medical claims are initially denied, and hospitals […]

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 […]