Whether in a hospital lab, reference laboratory, or physician office setting, if you’re involved in toxicology testing, you’re well aware that few areas of laboratory medicine face more reimbursement challenges. In 2025, toxicology testing continues to operate in an environment of intense scrutiny, evolving regulations, and shifting payer policies. With strategic knowledge of Current Procedural […]
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The American Medical Association (AMA) announced today the release of the Current Procedural Terminology (CPT®) code set for 2025, marking a significant evolution in medical coding that reflects the healthcare industry’s rapid technological advancement and changing clinical practices. The updated code set, which serves as the foundation for medical billing and documentation across the United […]
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Current Procedural Terminology (CPT®) codes are the backbone of medical billing in the United States healthcare system. These standardized codes, maintained by the American Medical Association (AMA), serve as a universal medical language for reporting medical, surgical, and diagnostic procedures and services to entities such as insurance companies, accreditation organizations, and government programs. We go […]
Billing Codes, Coding, Coding Accuracy, coding and billing, Coding and Documentation, Coding Errors, Coding Intricacies, CPT, CPT codes, CPT definitions, Current Procedural Terminology
Behavioral health billing is a complex and crucial aspect of the healthcare industry, specifically focused on mental health and substance abuse services. It involves intricate processes, numerous codes, and strict regulations to ensure accurate reimbursement for services provided while maintaining patient privacy and data security. We research the various mechanisms used in behavioral health billing, […]
Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health CPT Codes, Behavioral Health Integration, billing, CPT, CPT codes, CPT definitions, EDI, Electronic Data Interchange, HIPAA
Breast cancer is one of the most common cancers among women in the United States, with about 1 in 8 women developing invasive breast cancer over their lifetime. As breast cancer incidence has increased over the past several decades, advances in screening, diagnosis, and treatment have also greatly improved. Breast cancer death rates have fallen […]
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Telestroke and teleneurology refer to the use of telehealth to provide acute stroke care and neurological care from a distance. This allows neurologists and stroke specialists to evaluate and manage patients in hospitals or clinics that may not have specialty care available onsite. The use of telehealth and virtual care models in neurology has grown enormously […]
coding and billing, CPT codes, E/M, E/M codes, E/M services, E/M Visits, HIPAA, HIPAA-compliant Telehealth, Tech-enabled Care Models, Telehealth Billing, Telemedicine, Telemedicine Billing, Telemetry, Teleneurology, Teleneurology Billing, Teleneurology CPT Codes, Telestroke, Telestroke Billing, Telestroke CPT Codes
Biologics and specialty drugs represent some of the most innovative and complex pharmaceuticals available today. They are used to treat a wide range of diseases and conditions, from cancers to autoimmune disorders. However, these cutting-edge medications also come with high price tags and complex administration requirements. One of the tools used to properly bill and […]
Additional Injectable Drugs, Biologics and Specialty Drugs, CPT Codes for Oral Specialty Drugs, Cytokines, Enbrel, Enzyme-Related Biologics, Hemophilia Clotting Factors, Humira, Immune Globulins, Infusible Biologics, Injectable/Infusible Biologics, Interferons, Monoclonal Antibodies, Remicade, Rituxan, Specialty Drugs
Modifier codes are an important part of medical billing and coding. They provide additional information about a medical procedure or service to help ensure proper reimbursement. Knowing when to use modifier codes can improve claim accuracy and prevent costly payment delays or denials. We explain what modifier codes are, why they are used, the most […]
Anatomic Modifiers, Bilateral Surgery Modifiers, billing, Coding, coding and billing, CPT, CPT definitions, CPT-10, Global Surgery Modifiers, HCPCS, healthcare, Healthcare Billing, Medical, Medical Billing, medical coding, medical necessity, NCCI, NCCI Edits, payer policies, Procedure Modifiers, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization
Speech-language pathology services are critical for evaluating and treating communication disorders, swallowing difficulties, and cognitive-linguistic impairments. However, selecting the proper CPT codes for speech therapy can be complex given the many types of assessments, modalities, and interventions provided. We examine the most frequently used Current Procedural Terminology (CPT) codes that speech therapists report to receive […]
billing, Common Procedural Terminology (CPT) codes, CPT, CPT codes, Current Procedural Terminology, Medical Billing, Speech Billing, speech therapy billing
Navigating CPT Coding for Pharmacogenetic (PGx) Testing Reimbursement Pharmacogenetics refers to the study of how genetic variability impacts drug response. Also called pharmacogenomics, PGx testing analyzes a patient’s genetic makeup to predict drug efficacy, optimal dosing, and risk of adverse reactions. As our understanding of genetics has advanced, there has been growing recognition of its […]
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Substance abuse treatment plays a crucial role in addressing addiction and supporting individuals on their path to recovery. Alongside the provision of quality care, it is essential to have a streamlined billing process to ensure efficient reimbursement for the services rendered. This article aims to explore the common Current Procedural Terminology (CPT) codes used in […]
Behavioral health assessment, Case management, CPT, CPT-10, Detoxification and withdrawal management, Evaluation and Management, Family therapy, Group therapy, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Medication management, Psychotherapy, substance abuse, Substance Abuse and Mental Health Services Administration, Substance Abuse Billing
Are you passionate about healthcare administration and interested in pursuing a career in medical billing and coding? As the demand for skilled professionals in this field continues to grow, it’s crucial to choose the right educational institution that provides comprehensive training and prepares you for a successful career. We take a look at some of […]
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In the complex world of healthcare, managing the business side of things can often be overwhelming, especially for those new to the field. One common question that arises is the distinction between medical billing and revenue cycle management (RCM). Although the term “medical billing” has been around for a long time, RCM encompasses the entire […]
CPT, healthcare, Healthcare Billing, ICD, Medical, Medical Billing, Medical Billing Service, medical billing software, medical credentialing, rcm, Revenue Cycle, Revenue Cycle Management
How to Choose the Correct CPT Code for Your Medical Billing and Coding Services As a medical biller or coder, choosing the correct Current Procedural Terminology (CPT) code is crucial for accurate reimbursement. However, with thousands of codes available, it can be overwhelming to find the right one for your services. We offer a free […]
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Durable Medical Equipment (DME) refers to medical equipment and supplies that are intended for long-term use by individuals with medical conditions or disabilities. Some common types of DME include wheelchairs, walkers, crutches, canes, hospital beds, patient lifts, oxygen equipment, nebulizers, and continuous positive airway pressure (CPAP) machines. Other examples of DME products include enteral feeding […]
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In behavioral health, medical billing is a crucial aspect of providing services to patients. The billing ensures that healthcare providers receive proper payment for the services they provide, and it helps patients understand the costs associated with their care. As the healthcare industry continues to evolve, it is important for behavioral health providers to understand […]
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