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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
DME Optimization & CMS Hospice Payment Update 2024
Discover the 2024 CMS hospice payment updates and effective DME optimization strategies for enhanced care.
Dermatology Insurance Coverage: Medical vs Cosmetic Billing
Dermatology insurance coverage depends on medical necessity, not on whether a service is done in a skin clinic. Here is how a practice documents, codes and explains the line.
Urgent Care Billing and Coding Guide: E/M, POS 20, S-Codes
How an urgent care visit becomes a paid claim: POS 20, E/M levels by medical decision making, what S9083 and S9088 really do, and what HIPAA says about consent.
SNF Billing Guidelines: PDPM, MDS and Medicare Part A
How skilled nursing facilities bill Medicare Part A: the 3-day stay, coverage days, PDPM, the MDS, consolidated billing and the fiscal year 2027 update.
Emergency Department Billing: EMTALA, E/M Levels and Claims
Emergency department billing means two claims per visit. See how EMTALA, 2023 E/M leveling and facility versus professional rules shape each one.
Comprehensive Guide to Chiropractic Billing Services in Chandler, Arizona
Discover expert chiropractic billing services in Chandler, AZ, to streamline your practice and maximize revenue.
IOP Billing for Co-Occurring Disorders: Codes, Rules, Auth
Which code applies to an IOP serving mental health and substance use patients depends on the payer. Here is how Medicare, Medicaid and commercial rules differ.
Coding Moderate Sedation in the Emergency Department: A Comprehensive Guide
Learn the importance of moderate sedation coding, key CPT codes, and best practices for accurate billing in the emergency department.
Home Infusion Therapy Billing: Medicare Codes and IVIG Rules
Which codes and payer rules apply to home infusion and home IVIG: Medicare G-codes, J-code drug claims, S-code per diems and the Q2052 checklist.
Cataract Co-Management Billing: Modifiers 54, 55 and 56 Explained
How cataract co-management billing works under Medicare's global surgery rules: the global period, modifiers 54, 55 and 56, the transfer agreement and who bills what.
Boosting Reimbursement Rates for Your Chiropractic Practice
Discover effective strategies to enhance your chiropractic practice's reimbursement rates, including the use of CPT code 98941.
Affordable DME Billing Services at $8 USD per hour
Discover the benefits of outsourcing DME billing at just $8/hour. Enhance your revenue cycle management today!
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