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Physician Provider Going Out of Network with the Insurance Company | Think Again

Going Out of Network with the Insurance Company, think again (especially...

Can a Doctor Waive a Patient Copay | Medical Practice Offices Need to Know

If you are participating and contracted with the insurance payers, you...

Type of Service Code for Claims Submission for Medical Provider Services

Type of Service Code for Claims Submission for Medical Provider...

CPT Unlisted Codes – What are they? Use it when there is no other appropriate code!

Here are our Unlisted Service or Procedure Codes A service encounter or...

Insurance Payment Paid and Allowed 100% of Charged Amount – don’t celebrate! Let me tell you why!

I asked some of my readers about how they will feel if their claims has an...

Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203 Problem Focused E/M

Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203...

How to Code Transforaminal Injection without Imaging Guidance

When the Pain Management physician does Transforaminal injection with...

DME Modifiers use for DME Durable Equipment Billing | How to Bill for DME

DME Modifiers use for DME Durable Equipment Billing MODIFIER BP –...

BILLING TIPS: How to Bill Trigger Points CPT 20552, 20553

BILLING TIPS: How to Bill Trigger Points CPT 20552, 20553 20552...

Recent Posts From Listen to PODCASTS

Physician Billing Podcast Episode 1 – How to Use Modifier 25

Physician Billing Podcast Episode 1 – How to Use Modifier...

  • Durable Medical Equipment
  • General Surgery Coding
  • Modifiers
  • Orthopedic Surgery
  • Pain Management Coding and Billing
  • Physical Therapy Billing
  • Practice Management
  • Preventive Medicine Coding and Billing

CPT Code for Hernia Incisional or Ventral Open or Laparoscopic

CPT Code for Hernia Incisional or Ventral Open or Laparoscopic...

General Surgery Coding – Hernias Open and Laparoscopic – Fundoplication

General Surgery Coding – Hernias Open and Laparoscopic – Fundoplication...

CPT Code for Stab Phlebectomy | What if less than 10 incisions?

CPT Code for Stab Phlebectomy and what if less than 10 incisions? Keypoints:...

What Modifier for Global Surgery Should You Use?

Modifier for Global Surgery  (when used during the Surgical Global...

Billing for Global Surgical Packages

Billing for global surgical packages   … also referred to as global...

How Do I Code a Lipoma Removal from Neck

Here’s a Question from one of my readers: – Subscriber from...

2015 New CPT Coding Changes for General Surgery Practice

I have been a coder for General Surgery for almost 10 years now changes are...

Medical Billing Coding Hernia Repair Laparoscopic or Open Surgery

Here are the medical billing codes that you can review for HERNIA Repair....

Coding Incarcerated Ventral Hernia with Mesh and with Partial Omentectomy and Exploratory Laparotomy

How do you perform coding Incarcerated Ventral Hernia with Mesh and with...

Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203 Problem Focused E/M

Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203...

DME Modifiers use for DME Durable Equipment Billing | How to Bill for DME

DME Modifiers use for DME Durable Equipment Billing MODIFIER BP –...

How much is Allowed During the Global Period Using Modifier 58, 78 and 79

How much is Allowed During the Global Period Using Modifiers 58, 78 and...

When to Use Modifier 33 Preventive Service

// When to Use Modifier 33 Preventive Service Let’s look at this CPT...

CPT Modifiers in Billing and Coding – What Are They?

CPT Modifiers in Billing and Coding What are they? Searched keyword:  CPT...

What Modifier for Global Surgery Should You Use?

Modifier for Global Surgery  (when used during the Surgical Global...

How to Use Billing Modifiers in Medical Coding

// How to Use Billing Modifiers in Medical Coding Using Proper and Right...

2015 Useful New Modifiers for Physical Therapy Billing and Coding

Beginning January 1, 2015 – CMS had developed 4 new Modifiers that can...

How much is Allowed During the Global Period Using Modifier 58, 78 and 79

How much is Allowed During the Global Period Using Modifiers 58, 78 and...

Compliance Guidance (Videos)

//   Compliance Program Basics Physician Self-Referral Law // Federal...

How to Code Transforaminal Injection without Imaging Guidance

When the Pain Management physician does Transforaminal injection with...

BILLING TIPS: How to Bill Trigger Points CPT 20552, 20553

BILLING TIPS: How to Bill Trigger Points CPT 20552, 20553 20552...

Anesthesia Cross codes for Interventional Pain Management Spinal Procedures

Anesthesia Cross codes for Interventional Pain Management Spinal Procedures...

How to Bill for Anesthesia Services Personally Performed by Anesthesiologist

How to Bill for Anesthesia Services Personally Performed by...

2017 New Moderate Conscious Sedation Codes | How to Bill for Moderate Conscious Sedation

Your old Moderate Conscious Sedation Codes were deleted and replaced in...

2017 Deleted Epidural Pain Management Billing Codes 62310, 62311, 62318, 62319

DELETED EPIDURAL CODES Effective January 1, 2017 and are REPLACED! 62310...

Why Physicians Medical Practice Cannot Make More Money

Here are the 7 Common Reasons that I know make sense why many physicians...

Physical Therapy Billing | Understanding Medicare Guidelines

Physical Therapy Billing  can be a challenge. It can definitely affect...

2017 What is the Therapy Limit Cap for Physical Therapy, OT and SLP Services?

The therapy cap limits for 2017 are: $1,980 for physical therapy (PT) and...

2017 New Evaluation Codes for OT | New Occupational Therapy Evaluation Codes

Per CPT, these are the components in selecting the appropriate level of...

2017 New Physical Therapy Evaluation Codes – Final Rule

Here comes 2017 and we have 3 New Physical Therapy Evaluation Codes. CMS...

Billing for Therapy Functional Reporting Therapy G Codes PT OT SLP

We saw this change Effective January 1, 2013 – The Therapy Functional...

Physician Provider Going Out of Network with the Insurance Company | Think Again

Going Out of Network with the Insurance Company, think again (especially...

Can a Doctor Waive a Patient Copay | Medical Practice Offices Need to Know

If you are participating and contracted with the insurance payers, you...

Type of Service Code for Claims Submission for Medical Provider Services

Type of Service Code for Claims Submission for Medical Provider...

Insurance Payment Paid and Allowed 100% of Charged Amount – don’t celebrate! Let me tell you why!

I asked some of my readers about how they will feel if their claims has an...

Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203 Problem Focused E/M

Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203...

DME Modifiers use for DME Durable Equipment Billing | How to Bill for DME

DME Modifiers use for DME Durable Equipment Billing MODIFIER BP –...