Category: Blog

36415 CPT Code

36415 CPT Code Explained: Billing Guidelines, Usage, and Common Denials

Accurate medical billing starts with understanding the appropriate use of each CPT code. One such commonly used code in laboratory and outpatient settings is CPT Code 36415, which refers to the collection of venous blood by venipuncture. While it may appear straightforward, improper use of this code can result in claim denials, delays in reimbursement, […]
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denial avoidance

Denials Management vs. Denials Avoidance: Key Differences & Best Practices

In today’s healthcare landscape, denied insurance claims can seriously impact a provider’s financial health and operational efficiency. To address this, denial management services and denial avoidance programs have emerged as industry essentials. This post explores the differences between these two strategies, compares their respective best practices, and highlights why working with a leading denial management […]
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ICD-10 Codes for Obesity

Decoding ICD-10 Codes for Obesity: E66.9 vs. E66.01 Explained

Understanding and accurately applying ICD-10 codes for obesity is crucial for healthcare providers. These codes are not just bureaucratic necessities; they are vital for proper billing, public health tracking, and ensuring patients receive appropriate care. This blog post will delve into the nuances of obesity coding, with a particular focus on the commonly encountered codes: […]
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G2211 CPT Code Guide to Reimbursement, Billing, and Usage

G2211 CPT Code Explained: Billing Guidelines, Reimbursement, and Modifier Use

 Key Takeaways G2211 is an add-on HCPCS code representing visit complexity tied to ongoing, longitudinal patient care. It must be billed with E/M codes (99202–99215) and cannot be billed independently. Medicare reimburses G2211 (approx. $16 nationally), but commercial payer acceptance may vary. Use accurate documentation to demonstrate the longitudinal care relationship. No modifiers are usually […]
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CPT Code 80053

80053 CPT Code: Comprehensive Guide to CMP Panel Billing

One of the most frequently used codes in laboratory testing is CPT Code 80053, which represents the Comprehensive Metabolic Panel (CMP). This panel provides essential information about a patient’s metabolic state and organ function, helping physicians diagnose and manage chronic diseases effectively. For healthcare providers and billing professionals, understanding how to accurately bill for this […]
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HIPAA compliance tips

Top 10 HIPAA Compliance Tips for Small Medical Practices

The Health Insurance Portability and Accountability Act (HIPAA) sets the standard for safeguarding sensitive patient data. While large hospital systems often have dedicated compliance departments, small medical practices face unique challenges in achieving and maintaining HIPAA compliance. But with the right strategies, even the smallest clinics can protect patient data, avoid costly fines, and build […]
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ICD 10 code for anxiety

ICD 10 Code for Anxiety: Comprehensive Guide to Key Anxiety Codes

Anxiety disorders are among the most common mental health conditions worldwide, affecting millions of people. For healthcare professionals, accurately documenting and coding these conditions is crucial for diagnosis, treatment, and billing. The International Classification of Diseases, Tenth Revision (ICD-10), is the system used globally for this purpose. But what exactly is the ICD 10 code […]
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CPT Code 99204

CPT Code 99204: New Patient E/M Billing Guide

Among the numerous Evaluation and Management (E/M) codes, 99204CPT Code holds particular significance for healthcare providers seeing new patients in an office or outpatient setting. Proper use of this code ensures appropriate reimbursement for moderately complex services that require comprehensive documentation and clinical decision-making. This article provides a comprehensive overview of CPT 99204—its definition, time […]
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