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 […]

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 […]

Plastic & Reconstructive Surgery Billing Services Billing for plastic and reconstructive surgery isn’t straightforward.  Unlike other specialties, surgeons here deal with both cosmetic procedures and reconstructive cases.  Insurance carriers demand strong proof of medical necessity, pre-authorizations are frequent, and coding mistakes can lead to costly denials.  Practices that don’t specialize in this type of medical […]

Dermatology Coding Guidelines (2025 Edition) Accurate dermatology coding is the foundation of clean claims, faster payments, and fewer denials.  With new 2025 updates, understanding the right CPT and ICD-10 codes matters more than ever.  This guide explains the latest dermatology coding guidelines, common pitfalls, and practical tips for better medical billing. 2025 Dermatology Coding Updates […]

Dermatology Billing Company: How to Choose the Right Partner for Your Practice Running a dermatology practice isn’t just about seeing patients, it’s also about getting paid for the work you do.  And that’s where choosing the right dermatology billing company makes all the difference.  Dermatology billing is notoriously complex.  Between lesion counts, biopsy codes, modifier […]

Plastic Surgery Billing: A Complete 2025 Guide Plastic surgery billing can get complicated fast.  Between figuring out whether a procedure is cosmetic or reconstructive, staying on top of 2025 CPT code updates, and making sure every claim is backed by proper documentation, there’s a lot that can go wrong.  And in this field, mistakes mean […]

What is Patient Liability: A Complete Guide For Patients, Providers, and Planners If you’ve ever looked at a medical bill and wondered why you still owe money, even after your insurance or Medicaid paid their part, you’re dealing with patient liability. This is a term that comes up a lot in healthcare, but it’s not […]

Dermatology Medical Billing and Coding: A Complete Guide Dermatology medical billing and coding can feel like a headache, especially with all the codes, modifiers, and insurance rules involved.  If you’re a dermatologist, practice manager, or biller, getting this process right is key to getting paid on time and avoiding claim rejections. At The Auctus Group, […]