Category: Blog

HCPCS C Codes

HCPCS Code Categories: C Codes Overview

The Healthcare Common Procedure Coding System (HCPCS) is a standardized coding system used primarily for billing and reporting medical services and supplies in the United States. Within HCPCS, C codes are a specific category of temporary codes used under the Hospital Outpatient Prospective Payment System (OPPS). These codes are issued by the Centers for Medicare […]
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Modifiers 80, 81, 82, and AS

Modifier 80, 81, 82, AS – Description, Examples, & Usage Guidelines

Medical billing and coding is a critical part of healthcare revenue cycle management (RCM), ensuring providers are reimbursed accurately for their services. Among the many modifiers used in coding, Modifiers 80, 81, 82, and AS are essential in defining the role of assistant surgeons during procedures. Correct usage of these modifiers can prevent claim denials, […]
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co 197 Denial Code

Complete Guide to Handling CO‑197 Denials in Medical Billing

What is CO‑197? In medical claims terminology, CO 197 (or “CO‑197”) is a denial adjustment code used by payers to indicate that a claim (or line item) was rejected because precertification, authorization, or required notification was not obtained prior to providing the service. The “CO” stands for Contractual Obligation — meaning this denial is tied […]
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Guide: ICD-10 Code for Prediabetes

Prediabetes is a growing health concern affecting millions of Americans, and accurate medical coding plays a crucial role in identifying and managing this condition effectively. For healthcare providers, understanding the ICD-10 code for prediabetes, associated billing guidelines, and coding best practices is essential for ensuring accurate reimbursement and compliance with payer requirements. This article explores […]
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medical billing compliance

Top Strategies to Maintain Medical Billing Compliance and Avoid Penalties

In today’s evolving healthcare landscape, medical billing compliance is more than just following rules—it’s about safeguarding your organization from costly fines, legal risks, and reputational damage. Non-compliance in billing and coding can trigger audits, revenue loss, and even exclusion from federal healthcare programs like Medicare and Medicaid. At Allzone Management Services, we help healthcare providers […]
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CPT Code 47563

CPT Code 47563: Complete Guide for Billing and Specialty Procedures

CPT Code 47563 refers to a laparoscopic cholecystectomy, a minimally invasive surgical procedure to remove the gallbladder. This code is widely used in general surgery and gastroenterology specialties. Accurate usage of CPT Code 47563 is critical for proper reimbursement, denial prevention, and compliance with medical billing regulations. At Allzone, we specialize in providing comprehensive medical […]
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Modifier 76

Modifier 76 in Medical Billing: Definition, Usage, and Examples

Introduction In medical billing, modifiers play a vital role in explaining the circumstances under which a service or procedure was performed. One such important modifier is Modifier 76, which helps billers and coders indicate when a repeat procedure or service is performed by the same physician or qualified healthcare professional. Accurate use of Modifier 76 […]
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ICD-10 code for stroke

Detailed List of ICD-10 Codes for Stroke and Medical Coding Guide

A stroke, or cerebrovascular accident (CVA), occurs when the brain’s blood supply is interrupted or reduced, depriving brain tissue of oxygen and nutrients. Accurate medical coding for stroke is essential to ensure proper documentation, reimbursement, and statistical tracking of healthcare outcomes. In the healthcare revenue cycle, accurate ICD-10 coding not only impacts claim success but […]
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