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 […]

May 13, 2024
by John Gwin

Dermatology Revenue Cycle Management: A Guide

Dermatology Revenue Cycle Management: A Guide Dermatology Revenue Cycle Management (RCM) allows your practice to run smoothly, giving it a steady stream of income and patients while operations run like clockwork.  In dermatology, where the range of services spans medical, surgical, and cosmetic procedures, the complexity of billing and coding emphasizes the need for effective […]

May 6, 2024
by John Gwin

10 Revenue Cycle Management Best Practices

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 […]

April 29, 2024
by John Gwin

Medical Billing Outsourcing: The Pros & Cons

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, […]

April 9, 2024
by John Gwin

ICD-9 vs. ICD-10: Why The Change?

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 […]

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 […]

December 13, 2022
by Admin

Top 5 Things a Breast Reconstruction Patient Should Know/Do About Their Insurance  Coverage:

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 […]

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- […]

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