Vitamin D plays a vital role in maintaining healthy bones, supporting the immune system, and regulating calcium absorption. However, deficiencies in this essential nutrient are common worldwide, often leading to fatigue, bone pain, muscle weakness, and long-term complications like osteoporosis. For healthcare providers, accurately documenting and coding vitamin D deficiency is essential not only for […]
Medical billing can be complex, especially when it comes to specialized diagnostic procedures. One commonly used code in pulmonary medicine and respiratory diagnostics is CPT code 94010. Understanding how to correctly bill this code, apply the right modifiers, and maximize reimbursement is essential for physicians, coders, and billing companies. In this article, we’ll cover: What […]
Denials have always been a challenge for healthcare providers, but in 2025 they’ve reached unprecedented levels of financial and operational impact. Studies show that denial rates now average 11.8% of all claims, with some providers reporting initial denial rates as high as 20%. For revenue cycle management (RCM) leaders, this isn’t just a numbers problem—it’s […]
Accurate medical billing is the backbone of any successful healthcare practice. Even the smallest error in coding or modifier usage can lead to denials, payment delays, or compliance issues. Two important modifiers that play a critical role in drug and biological billing are JW Modifier and JZ Modifier. Understanding when and how to use them […]
Left shoulder pain is a frequent complaint in healthcare, but it’s not a diagnosis itself. For healthcare providers, assigning the correct ICD-10-CM code is a crucial step for accurate medical billing and record-keeping. The specific code for left shoulder pain is M25.512. This blog post will explore the details of ICD-10 codes for left shoulder […]
Commonly Billable Procedures in Urgent Care Procedures on the same date (modifier 25) It is appropriate to bill -25 for an E/M when work goes beyond the procedure itself – for example, a laceration repair plus an unrelated evaluation. Be sure to include HPI, exam, and MDM for the distinct problem, as well as a […]
The Health Insurance Portability and Accountability Act (HIPAA) sets the national standards for safeguarding protected health information (PHI). For healthcare providers, ensuring HIPAA compliance in medical billing isn’t just a regulatory requirement—it’s an essential part of patient trust, financial integrity, and organizational reputation. Many practices struggle to maintain compliance while also managing the complexity of […]
C-level executives often get caught up in the day-to-day operations of their companies and lose sight of the bigger picture. This can be especially true when it comes to the medical billing side of their business. In a world of ever-changing regulations and codes, it can be difficult to keep up with the latest information. […]
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 […]










