How do CPT® Codes Work?

October 5, 2024 / Alex J. Lau / Articles, Billing Codes, Coding, Coding Accuracy, Coding and Billing, Coding and Documentation, Coding Errors, Coding Intricacies, CPT, CPT Codes, CPT Definitions, Current Procedural Terminology

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

Key Mechanisms Used in Behavioral Health Billing

October 1, 2024 / Alex J. Lau / Articles, 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

Key Behavioral Health Billing Mechanisms

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

Which CPT Codes are Used in Breast Cancer Treatment Billing?

March 2, 2024 / Alex J. Lau / Articles, Billing, Breast Cancer, Breast Cancer Billing, Breast Cancer Care, Breast Cancer Coding, Breast Cancer CPT Codes, Coding, Coding and Billing, CPT, CPT Codes, CPT Definitions, Medical Billing, Medical Billing and Coding

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 […]

Billing, Biomarker Billing, Breast Cancer, Breast Cancer Billing, Breast Cancer Care, Breast Cancer CPT Codes, Breast MRI Billing, Breast Ultrasound Billing, Cancer Billing, Cancer Screening Billing, Chemotherapy Billing, Coding, CPT codes, Healthcare, Healthcare Billing, Mammography Billing, Medical, Medical Billing, Medical Billing and Coding, Medical Coding, RCM, Revenue Cycle, Revenue Cycle Management

What are and When to Use Modifier Codes

February 10, 2024 / Alex J. Lau / Anatomic Modifiers, Articles, Bilateral Surgery Modifiers, CMS, Coding, CPT, CPT Codes, CPT Definitions, Global Surgery Modifiers, HCPCS Codes, Medical, Medical Billing, Medical Coding, Missing Modifiers, Modifier Codes, Modifiers, Procedure Modifiers

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