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Specialty & Niche Medical Billing
Billing and coding guidance for specific specialties and niche services, including what each one gets paid for and where claims usually go wrong.
55 guides
Modifier 26 vs TC in Cardiology Billing: Who Bills Which Part
Modifier 26, modifier TC or one global claim? How cardiology practices decide for echo, stress tests, Holter monitors, nuclear imaging and device checks, site by site.
Facet Joint Injection Documentation Requirements: A Medicare Checklist
What must be in the note before a facet, medial branch block, RFA or epidural steroid injection claim goes to Medicare, procedure by procedure, with the MAC differences that change...
Behavioral Health Billing Services: How to Choose an RCM Partner
What behavioral health billing services should cover, how 42 CFR Part 2 and the BAA apply to a vendor, and how in-house, outsourced and hybrid models compare.
Mental Health Billing Training: What New Staff Must Learn
A trainer's plan for mental health billing training: what a new hire should learn, in what order, and how to check that they have it.
Chiropractic Billing Specialist: When to Hire One and What to Ask
What a chiropractic billing specialist does, the Medicare rules that make chiropractic claims different, a verification checklist, and how to choose between in-house, outsourced and hybrid billing.
Understanding Wound Care: Types, Treatment, and Prevention
Discover essential insights on wound care types, effective treatments, and prevention strategies for optimal healing.
Understanding the Impact of PDPM on SNF Billing: A Comprehensive Guide
Discover how PDPM transforms SNF billing, enhances patient care, and ensures accurate reimbursements for skilled nursing facilities.
HME vs DME Billing: Is There a Real Difference?
HME vs DME billing comes down to the item, the payer, the order and the rental schedule, not the label. Here is what changes your claims.
Radiology Billing Challenges: TC/26, MIPS, Prior Auth & Denials
The main radiology billing challenges in 2026: splitting technical and professional components, prior authorization, denials and MIPS, with sourced rules.
SLP Billing: CPT 92507, Medicare Rules and the 2027 Change
What speech-language pathologists bill today under CPT 92507, the Medicare Part B rules that apply, and how the 2027 code replacement changes your notes and claims.
Anesthesia Billing: Base, Time and Modifier Units Explained
How anesthesia claims are priced: base units, 15-minute time units, modifying units and the conversion factor, plus the payment modifiers (AA, QK, QX, QY, QZ, AD) that decide who gets...
Urgent Care Billing Mistakes: 8 Common Errors and How to Fix Them
Eight errors that delay or reduce payment in urgent care, from check-in data to modifier 25 and timely filing, with a control for each.
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