Top 3 Coding Errors That Are Costing Your Practice Thousands
Quick answer: Three coding errors cost practices the most: outdated or vague diagnosis codes, missing or wrong modifiers, and undercoding E/M visits. For example, forgetting Modifier 25 on a visit billed with a procedure can get the visit denied. You can fix all three. Update code lists every January, keep a modifier cheat sheet, track […]
Updated Telehealth – What we know Today!
Update, October 2026: This post covers telehealth rules through early 2025 and is kept for reference. For current Medicare telehealth billing rules, read our 2026 telehealth billing guide. Telehealth Reimbursement: What Physicians Need to Know for 2025 The landscape of telehealth reimbursement continues to evolve as Medicare and commercial payers adjust their policies. With key […]
Should Your Practice Hire a Nurse Practitioner?
In the latest discussion from NatRevMD, we tackled an important question for growing medical practices: should you hire a Nurse Practitioner (NP)? If you’re considering taking this step, this post is for you. We’ll explore how to build a strong business case for adding an NP to your team and ensure the decision aligns with […]
Telehealth Changes in 2025: What Physicians Need to Know
Update, October 2026: This post covers the 2025 telehealth changes and is kept for reference. Several rules have changed since. For current Medicare telehealth billing rules, read our 2026 telehealth billing guide. Telehealth Changes in 2025: What Physicians Need to Know The Centers for Medicare & Medicaid Services (CMS) have announced their updates for 2025, […]
Understanding Modifier 25 in Preventive Visits: Billing with Care to Avoid Added Costs
By Dr. Heather Signorelli, DO, board-certified pathologist and founder of NatRevMD. Quick answer: Add modifier 25 to an E/M code during a preventive visit only when you evaluate a significant, separately identifiable problem. New knee pain that needs its own history, exam and plan qualifies. A refill or a mild allergy symptom doesn’t, because it […]
HHS Finalizes Medicare Payment Rule for 2025: The Reality Behind Cuts and Telehealth Rollbacks
Update, October 2026: This post covers the 2025 Medicare Physician Fee Schedule and is kept for reference. Medicare updates the fee schedule every year, so check the current year’s rule before you rely on these numbers. For current telehealth rules, see our 2026 telehealth billing guide. The Department of Health and Human Services (HHS) and […]
STOP Leaving Money on the Table with Eligibility Denials
This guide covers eligibility denials for independent practice owners: what it is, why it matters, and what to do next. You can’t control insurance companies. BUT YOU CAN CONTROL THIS!!! When it comes to running a healthcare practice, verifying insurance is one of those crucial yet often overlooked processes that can make or break your […]
Why You Need to Update Your CPTs and ICD-10 Codes Annually
Quick answer: Update your CPT and ICD-10 codes every year because the code sets change on fixed dates. New CPT codes take effect January 1, and new ICD-10-CM codes take effect October 1. Claims with deleted or outdated codes get rejected or denied, so cash slows down, rework piles up and audit risk rises. Updating […]
How to Fix: Bank Deposits Matching EHR Postings
Quick answer: Bank deposits often fail to match EHR or PM postings for six reasons. These include incomplete posting (often secondary payments), EFT delays, checks the practice never deposited, timing gaps at month end, misallocated payments, and payments with no clear ID. In short, the fix is regular reconciliation, so compare your system’s payments with […]
Understanding Denied vs. Rejected Claims in Medical Billing
Quick answer: A rejected claim never entered the payer’s system, usually because of an error such as a wrong member ID or birth date, so you fix it and resubmit. A denied claim was processed and found not payable, for reasons such as no coverage, no prior authorization or medical necessity. That means you need […]