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Posts tagged "Medical Coding"

G2211 Add-On Code: When to Use It, When Not To, How to Avoid Denials

March 8, 2026 / Alex J. Lau / Add-on Code, Billing, G2211, G2211 Add-on Code, Medical Coding
G2211 Medicare HCPCS add-on code

G2211 is a Medicare add-on code that can be billed alongside office visit E/M codes 99202 through 99215 to capture additional reimbursement for the longitudinal care coordination work providers perform when managing a patient’s single serious condition or a complex, ongoing condition. CMS added the code effective January 1, 2024, with a payment value of […]

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Add-on Code, Billing, G2211, G2211 Add-on Code, Medical Coding

Which CPT Codes are Used in Primary Care Billing

November 6, 2025 / Alex J. Lau / CPT Codes, Medical Billing, Primary Care Billing, Revenue Cycle Management
Primary Care Medical Billing, Credentialing

Primary care billing hinges on selecting the right CPT code and in a practice that may see 25 or more patients daily, small coding errors multiply into significant revenue loss and compliance risk. This guide covers every major CPT code category used in primary care billing: Evaluation & Management (E&M) visits, preventive exams, chronic care […]

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Chronic Care Management, CPT Codes, E&M Codes, Evaluation and Management, Medical Coding, Preventive Care Billing, Primary Care Billing, Remote Patient Monitoring, Telehealth Billing

New Medical Coding Modifiers for 2025

December 7, 2024 / Alex J. Lau / Medical Coding Modifiers, Modifier Codes
Medical Coding Modifiers for 2025

If you’re in the healthcare provider world, you know that modifiers are like the secret sauce of medical coding. They provide those crucial extra details that can make or break a claim. Think of them as the fine-print heroes that ensure you’re getting paid correctly for the exact services you’ve provided. The Landscape of Change […]

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Billing Codes, Complex Modifiers, Medical Coding, Remote Services Modifiers, Specialized Treatment Modifiers, Technological Intervention Modifiers, Telehealth Modifiers, Time-Based Modifiers

Efficient Modifier Usage Streamlines Billing Success

October 19, 2024 / Alex J. Lau / Medical Billing, Modifiers
Crazy Medical Coder Biller

Efficient and accurate billing practices are essential for maintaining the financial health of healthcare providers and ensuring proper reimbursement for services rendered. One key element in optimizing medical billing processes is the effective use of modifiers. These two-digit codes provide additional information about medical procedures and services, allowing for more precise billing and reducing the […]

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Coding and Billing, Common Modifiers, Medical Coding, Modifier Codes

What are and When to Use Modifier Codes

February 10, 2024 / Alex J. Lau / Modifier Codes
Medical Billing White Guy

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 […]

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Anatomic Modifiers, Bilateral Surgery Modifiers, Global Surgery Modifiers, Medical Coding, Procedure Modifiers

What Makes Mental Health Billing So Difficult?

October 24, 2020 / Alex J. Lau / Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health Reimbursement, Billing, Billing Outcomes, Medical Billing, Mental Health Billing, Outsourced Billing, Outsourced Medical Billing
Mental Health (Billing), spelled out with scrabble letters

The healthcare industry is vast and complex, even more so for mental health providers. This is especially true when it comes to the mental health billing process. The variety in the types of services, the time, scope and restraints put on mental health treatments make the billing process quite demanding. If a patient visits his […]

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Behavioral Health, Behavioral Health Billing, Behavioral Health Codes, Behavioral Health Reimbursement, Billing, Billing Outcomes, ICD-10, Medical Billing, Medical Coding, Mental Health, Mental Health Billing, Outsource Medical billing, Outsourced Billing, Outsourced Medical Billing

Medical Billing: In-House Issues; Outsourced Solutions

January 10, 2020 / Alex J. Lau / Medical Billing, Medical Billing Companies, Medical Billing Outsourcing, Outsource Medical Billing, Why Outsource Your Medical Billing
Medical Billing and Credentialing

Outsource Your Medical Billing to Avoid Issues Installing a cost-effective, effectual medical billing team is one of the biggest challenges for any healthcare provider. Whether you’re a behavioral health provider, genetic testing lab or a substance abuse facility, it isn’t easy to create, maintain and scale your own internal medical billing team. Below, some of […]

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HIPAA Compliant, Inhouse Billing, Medical Billing, Medical Coding, Medical Credentialing, Outsource Medical billing, Outsourced Billing, Pittsburgh Hospital Billing, Pittsburgh Medical Billing, Pittsburgh Medical Credentialing, Substance Abuse

What is Medical Billing? (w/ Powerpoint Download)

September 16, 2019 / Alex J. Lau / Medical Billing
White Female Medical Billing Outsourced

What is Medical Billing? Medical billing is the process of submitting and following up on claims with health insurance companies to receive payment for services rendered by a healthcare provider. It involves coding and classification of diseases, procedures, and treatments and submission of claims to insurance companies for reimbursement. The goal of medical billing is […]

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Claims Preparation, Claims Submission, Medical Billing Powerpoint, Medical Coding, Payment Posting

Recent Posts

  • Denied Medical Claim Appeal Letter

    Why an Approved Authorization Can Still End in a Denied Claim

  • Medical Credentialing Specialist Searching Payers

    Credentialing Onboarding for New Providers: A Practice Manager’s Guide

  • Paye Contracting Requirements by State

    Payer Contracting Requirements by State: What Changes; What Stays the Same

  • AI Scribes Changing Medical Coding and Billing

    AI Scribes are Changing Medical Coding, Reimbursement

  • Net Collection Rate, analyzed by analyst

    What’s a Net Collection Rate in RCM?

  • Modifier 96 versus Modifier 97

    Modifier 96 vs. Modifier 97: What Therapy Billers Need to Know

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Recent Posts

  • Denied Medical Claim Appeal Letter

    Why an Approved Authorization Can Still End in a Denied Claim

  • Medical Credentialing Specialist Searching Payers

    Credentialing Onboarding for New Providers: A Practice Manager’s Guide

  • Paye Contracting Requirements by State

    Payer Contracting Requirements by State: What Changes; What Stays the Same

  • AI Scribes Changing Medical Coding and Billing

    AI Scribes are Changing Medical Coding, Reimbursement

  • Net Collection Rate, analyzed by analyst

    What’s a Net Collection Rate in RCM?

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