May 20, 2024
by John Gwin

CPT Code 99203: What You Need To Know in 2024

CPT Code 99203: What You Need To Know in 2024 CPT code 99203 is used for new patient or outpatient visits that require a low medical decision-making complexity and/or 30-44 minutes of encounter time.  This code has a lower reimbursement rate than higher-level codes like CPT code 99204 or CPT code 99205, but it’s important […]

April 18, 2024
by John Gwin

The Change Healthcare Cyber Attack: What’s Going On?

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 […]

March 18, 2024
by John Gwin

CPT Code 99204: What You Need To Know In 2024

CPT Code 99204: What You Need To Know In 2024 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 […]

March 13, 2024
by John Gwin

CPT Code 99214: Don’t Miss Out On Getting Paid In 2024

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 […]

December 21, 2022
by Admin

CLIENT QUESTION: 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 out of Medicare? Essentially, it means that a physician has chosen […]

November 18, 2022
by Admin

CLIENT QUESTION – HOW TO PROTECT AGAINST POST OP PATIENT INSURANCE CLAIMS

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- […]

October 31, 2022
by Admin

CLIENT QUESTION: WORKMAN’S COMP – WILL I BE COMPENSATED?

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 […]

July 18, 2022
by Admin

CAN A MED SPA BILL INSURANCE?

The short answer? Yes. “Med” is in fact short for “Medical,” and therein lies your ability to bill insurance in a med spa. You might ask, “Why would I bother to bill insurance when I could just charge cash pay only and rake it in?” Our answer: Why play checkers when you should be playing […]

May 21, 2022
by Admin

CLIENT QUESTION – IS A RHINOPLASTY A COVERED PROCEDURE?

THE ANSWER: How many patients who come to you for a “septoplasty” have zero desire for a positive aesthetic outcome?  Like they care 0% about how they look after surgery and are seeing you solely because their deviated septum has robbed them of their ability to breathe?   None.  They might say they don’t care, but […]

April 27, 2022
by Admin

I AM A CASHPAY / COSMETIC SURGEON (FROM TATTOOINE) – WHY SHOULD I CARE ABOUT MEDICAL BILLING (THE FORCE)?

“The day you can fire me is one of the happiest days in our relationship” – Famous last words from John Gwin, CEO of The Auctus Group But seriously…why should you care? You’re a cosmetic / aesthetic surgeon. You’re making 2-3K+ per hour. Why would you ever lose money to deal with insurance? …Because you […]

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