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.
Read moreOB/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.
Read moreDermatology 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.
Read morePCP 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.
Read moreOB/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.
Read morePediatric 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.
Read moreOB/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.
Read moreOB/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.
Read morePediatric 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.
Read moreOB/GYN Billing & Coding Alert - Billing for Pap Smear
Physcians are often confused when it comes to billing pap smears. Finding the correct CPT code for pap smear isn’t easy.
Read moreOB/GYN Billing & Coding Alert - How to Report Annual Exams for Pregnant Patients:
To professionally and economically optimize the financial performance of your ob-gyn practice, it’s imperative to decipher whether you are reporting an annual exam or initiating global maternal care. Test your knowledge with the following scenarios.
Read moreOB/GYN Billing & Coding Alert - 5 Must-Know FAQs for +99459 Expense Code
In 2024, CPT code +99459 was introduced as an add-on for pelvic examinations to be used alongside new and established patient visit codes
Read moreOBGYN Billing & Coding Alert - Modifier 52 For Incomplete or Partial Delivery
How should we report a situation where a physician was not available on time, but the patient’s husband delivered the baby, and the physician only arrived later to deliver the placenta?
Read moreOBGYN Billing & Coding Thorough Guidelines. Make your billing process easier.
Numerous practices have encountered difficulties with OB/GYN billing and coding due to the constant changes in CPT codes and ICD-10 implementation...
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