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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
Optimizing Behavioral and Mental Health Billing Services: A Comprehensive Guide
Explore effective RCM strategies for mental health billing to enhance efficiency and patient care.
Psychiatry Medical Billing: Codes, E/M Add-Ons and Denials
How psychiatry medical billing works: evaluation codes, E/M plus psychotherapy add-ons, telehealth place of service and the edits that cause denials.
Lab Claim Documentation: What Medicare MACs Ask You to Send
Which records go with a pathology or lab claim, how to attach them and what to do when a claim rejects. Based on MAC and CMS guidance.
Routine Foot Care Billing: CPT 11719, 11055-11057, Q7-Q9
Routine foot care billing for Medicare: when the exclusion applies, what the systemic-condition exception needs, how to pick Q7, Q8 or Q9, and how the nail and callus codes work.
Mastering Mental Health Billing: A Comprehensive Guide
Discover essential practices for effective mental health billing, including coding, documentation, and insurance navigation.
OB/GYN Billing Technology: Global OB Tracking and Claim Checks
What OB/GYN billing technology should do: track each pregnancy, time the global claim by payer, check claims before submission and flag aging claims.
How to Bill Insurance for Therapy: Step-by-Step Guide
A step-by-step guide for therapists on billing insurance: verifying benefits, choosing CPT psychotherapy codes, filing the claim, reading the EOB and collecting.
Gastroenterology Billing: Colonoscopy Codes, Modifiers and Denials
How to code screening versus diagnostic colonoscopy, use PT, KX and 53 on Medicare, check frequency limits and cut avoidable GI denials.
DME Billing Compliance: Medicare Documentation Checklist
What Medicare expects behind every DME claim: the written order, face-to-face rules, proof of delivery, medical records and supplier standards, with a pre-bill check.
Urology Billing: CPT Codes, Modifiers and Denials Guide
The do's and don'ts of urology billing: common CPT codes, global periods, modifiers 25 and 57, NCCI bundling rules and a pre-bill checklist.
How to Start a DME Business: Enrollment, Bond, Billing
How to start a DME business that bills Medicare: accreditation, supplier enrollment, the surety bond, state licenses and the billing set-up to do before claim one.
Dry Needling Billing: CPT 20560 and 20561 Coverage Guide
Dry needling billing for rehab practices: how CPT 20560 and 20561 differ, where Medicare stands, why commercial payers vary and what to check before you bill.
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