In today’s fast-changing healthcare landscape, one of the biggest challenges for providers and medical billing companies is dealing with claim denials. Even a single denied claim can disrupt cash flow, increase administrative burden, and delay patient care. Among the most common reasons for denials is the incorrect use—or lack of use—of modifiers. Modifiers GA, GX, […]
Getting the correct ICD-10 code for asthma is critical for proper medical billing and reimbursement. Asthma is a complex chronic condition with a wide range of severity and symptoms, which is reflected in the detailed codes within the ICD-10 system. Correctly coding for asthma, and respiratory conditions in general, can be challenging. Many healthcare providers […]
A structured and updated summary of the 2025 Radiology Coding Guidelines, covering procedural codes (CPT), diagnostic codes (ICD-10-CM), and inpatient procedural coding (ICD-10-PCS), along with essential best practices. MAMMOGRAM CODING UPDATES CPT Code Changes No mammography-specific code changes in 2025; general code set updated. NCCI Guidelines Emphasis on specificity and avoiding unbundling. CAD in MRI […]
In the complex world of medical billing and coding, understanding each CPT (Current Procedural Terminology) code is crucial for both healthcare providers and patients. One such code that frequently comes up, particularly in podiatry and dermatology, is CPT Code 11056. This code is used for a specific procedure, and knowing its nuances is key to […]
In the complex world of medical billing and coding, modifiers play a crucial role in ensuring claims are processed accurately and providers are reimbursed correctly. One such modifier that often causes confusion is the KX Modifier. Knowing when and how to use this modifier can make a significant difference in compliance, reimbursement, and avoiding denials. […]
In the ever-evolving landscape of healthcare, accurate medical coding plays a critical role in ensuring proper documentation, streamlined billing, and timely reimbursements. One of the most common symptoms that patients present with across all specialties is a cough—a seemingly simple symptom, but one that requires precise coding to ensure clinical accuracy and financial compliance. At […]
In 2025, the anesthesia code will undergo major updates that will improve efficiency, accuracy, and consistency. A discussion of the key changes and their implications for anesthesia practitioners will be presented in this article. 2025 NEW CPT CODING UPDATES New fascial plane block codes The introduction will be a major update in 2025. These codes […]
In the complex world of medical billing and coding, accuracy is paramount. CPT Code 95816, which covers “Electrocorticography (ECoG) under anesthesia or sedation,” is a critical code for neurologists and neurosurgeons. This specialized procedure requires meticulous documentation and precise coding to ensure proper reimbursement and compliance. Given the complexities involved, many healthcare providers are turning […]
Chest pain is a common symptom that can indicate a wide range of underlying medical conditions, from benign issues like muscle strain to life-threatening emergencies such as a heart attack. For healthcare providers and medical billers, accurately documenting and coding chest pain is crucial for proper diagnosis, treatment, and reimbursement. This is where the International […]
Accurate and efficient billing is critical for a healthcare practice’s financial health, and a single mistake can lead to claim denials, delayed payments, and significant revenue loss. This is where a deep understanding of anesthesia modifiers and the support of an expert medical billing company like Allzone become invaluable. The Critical Role of Anesthesia Modifiers […]