Tag: Medical Billing

CPT Code 90791

Your Essential Guide to CPT Code 90791: Psychiatric Diagnostic Evaluation

In the intricate world of medical billing and coding, understanding specific CPT (Current Procedural Terminology) codes is paramount for healthcare providers and patients alike. Among these, CPT code 90791 holds a significant place, representing a crucial initial step in mental health care: the psychiatric diagnostic evaluation. This comprehensive guide will delve into the nuances of […]
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CO 22 denial code

CO 22 Denial Code: Expert Guide to Prevention & Resolution in Medical Billing

In essence, the insurance company you billed believes another insurer is primarily responsible for the payment. Understanding and effectively managing CO 22 denial code is critical for maintaining a healthy revenue cycle and ensuring timely reimbursements. This comprehensive guide will break down the CO 22 denial code, explore its common causes, and provide actionable strategies […]
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Mastering Patient collections

Mastering Patient Collections: 5 Strategies for the New Healthcare Consumer

In today’s rapidly evolving healthcare landscape, one of the biggest challenges facing providers isn’t delivering care—it’s getting paid for it. The traditional methods of collecting patient balances no longer cut it. As the healthcare consumer grows more empowered, informed, and selective, providers must rethink their strategies to improve patient collections. At Allzone Management Services, we […]
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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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GY modifier

Mastering the GY Modifier: A Guide for Anesthesia Providers

Every code, every modifier, plays a crucial role in ensuring accurate reimbursement for services rendered. For anesthesia providers, understanding and correctly applying modifiers is particularly critical, as their services often involve complex scenarios. Among these, the GY modifier stands out as a powerful, yet often misunderstood, tool for ensuring proper payment for non-covered services. If […]
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Financial Performance

Driving Financial Performance and Operational Efficiency in RCM

The U.S. healthcare ecosystem continues to evolve with each passing quarter. As we navigate through rising operational costs, reimbursement challenges, and digital disruption, healthcare organizations—hospitals, physician groups, and medical billing companies alike—are seeking smarter, more resilient ways to operate and enhance their financial performance. At Allzone Management Services, we’ve had the privilege of partnering with […]
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Electronic Claims Management

Electronic Claims Management: Overcoming ERA and PA Challenges

The U.S. healthcare industry continues its digital transformation, with providers and payers embracing electronic transactions to streamline revenue cycle management (RCM) processes. According to the CAQH Index, adoption of electronic claims management transactions—such as eligibility verification, claim submissions, and claim status inquiries—has reached or surpassed 80% for many transaction types. However, significant gaps remain in […]
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