Coding

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7 Ways to Prevent Medicaid Claim Denials

If you’re one of the 71% of U.S. providers who accept Medicaid, it’s essential you understand the billing complexities of these Government-run plans. Your practice revenue depends on it. Medicaid provides health insurance coverage to 87 million low-income adults and children, and adults with disabilities. Like all insurance plans, Medicaid has quirks that can trip …

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Psychological Testing: Common CPT Codes and Best Practices for Submitting Claims

As a psychologist or mental health professional, testing and diagnosis are critical to the care you provide. But to continue that care, you must get paid — or reimbursed —- appropriately.  Like much of the billing and revenue cycle management (RCM) process, coding your claims can take some time to master. In this guide, we’ve …

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What Is ICD-11 and How Does It Differ From ICD-10?

Working in billing and revenue cycle management (RCM) means understanding a lot of different codes and code sets. There are current procedural terminology (CPT) codes, evaluation and management (E/M) codes and diagnosis codes.  But unlike CPT or E/M codes, diagnosis codes don’t change from year to year. They’re classified under the International Classification of Diseases …

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2023 E/M Code Changes: 3 Things to Know

A new year is right around the corner and that means changes to evaluation and management (E/M) codes and documentation.  The 2023 E/M changes include almost 400 editorial revisions to common procedural terminology (CPT) codes. Managed by the American Medical Association (AMA), the CPT changes include 93 revisions, 75 deletions and 225 new codes, all …

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An OB/GYN Coding Cheat Sheet to Make Your Billing Process Easier

It seems the world of medical billing gets more complicated every year, doesn’t it? The intricacies of coding can be particularly complex — especially in the obstetrics and gynecology field.  While OB/GYN medical billing may be a lot to manage, having a solid understanding of Current Procedural Terminology (CPT) codes influences one critical piece of …

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