Unbundling CPTs
Unbundling is the topic for Friday’s Fraud Alert! Join us every Friday for tips on medical billing. Unknowingly or knowingly, offices sometimes improperly unbundle CPT (current procedural terminology) codes to increase reimbursement or due to misunderstanding. Unbundling occurs when an office will bill multiple CPT codes for services that should be covered by a single […]
Group Purchasing Organizations
Group Purchasing Organizations … What is a group purchase organization and what can it do for my business? How can this apply to my private practice? I find this topic one of those quick lessons that can be so powerful in healthcare and even more powerful for small practices where even small expenses can add […]
Key Billing Metrics
The number one thing we have recognized about many of our new clients is that in the past they have been completely in the dark when it comes to medical billing data in their practice. Monitoring your practice’s financial performance when it comes to revenue is critical for your group’s success and ensures that you […]
No Surprise Act
Let’s go over the 2022 new “No Surprise Act” created to protect patients covered under group and individual healthcare plans from receiving surprise medical bills. Okay so let’s break it down. There are a lot of details in this so hang in there with me. As always, these are recommendations only, please consult with your […]
Prolonged Visits: How to Bill 99417, G2212, and Every Prolonged Service Code
Prolonged visits come up constantly, but the codes that cover them are easy to bill incorrectly. To get them right, you need a genuine clinical reason for the extra time, documentation that supports it, and the correct code for your payer and setting. Below, we break down every prolonged service code, when to use each […]