Medical Billing Guidelines

Pediatric Billing & Coding Alert - Apply Sports Medicine Know-How to Your E/M Understanding

Discover how to apply sports medicine expertise to pediatric E/M coding with our latest insights. Learn best practices for accurate documentation, avoid common pitfalls like double-dipping, and enhance your billing process for sports-related injuries.

OB/GYN Billing & Coding Alert - Tubal Ligation Claims Here’s Why Some Payers May Still Balk at +58661

Discover why some payers may resist approving CPT code +58661 for tubal ligation claims. Learn about common issues, payer concerns, and how to effectively address these challenges to ensure accurate reimbursement.

Dermatology Medical Billing and Coding Guidelines

Explore our comprehensive guidelines for dermatology medical billing and coding to ensure compliance and maximize your practice's revenue potential.

PCP Billing & Coding Alert - Give Your Immunization Coding Skills a Boost With This FAQ

Enhance your immunization coding expertise with our comprehensive guide. Discover essential tips and insights to improve accuracy and compliance in primary care billing.

OB/GYN Billing & Coding Alert - Code NSTs and BPPs for Twin Pregnancies

Discover expert tips for accurately coding NSTs and BPPs in twin pregnancies. Our OBGYN billing & coding guide ensures you understand billing for multiple gestations, helping you avoid common pitfalls and optimize reimbursements.

Pediatric Billing And Coding Guidelines. Make your billing process easier.

Streamline pediatric billing and coding with expert precision. Ensure compliance with guidelines for accurate reimbursement and efficient practice management.

OB/GYN Billing & Coding Alert - Prevent Mistakes When a Pregnant Patient Switches Insurance Prior to Delivery

In this case, it is clear that complete care has been provided by a single provider or group practice, making them eligible to receive payment for the services rendered. However, since the patient changed her insurance company during her pregnancy, two different insurance companies are now involved. Each insurer is responsible for covering the portion of care provided during the period in which they were active, ensuring that both are eligible for payment for their respective portions of care.

OB/GYN Billing & Coding Alert - Returning for a Repeat Pap Smear

When a patient returns due to abnormal Pap smear results or insufficient cell samples, it's essential to report the follow-up procedures accurately. In such cases, the OB-GYN will typically perform a repeat Pap smear to ensure an accurate diagnosis.

Pediatric Billing & Coding Alert - New Born Billing Guideline BillingFreedom

A coordinated effort is essential when delivering a baby, even in the healthiest scenarios. This process begins immediately after birth, with a specialist evaluating the newborn's condition. Medical coding for these assessments involves various codes based on the place of service (POS) and the baby's medical condition.