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15 Dec, 25

Telehealth and Supported Consultations on Family practices billing

Telehealth has been a mandatory channel of care, having redefined the manner in which providers execute routine care sessions, chronic care follow-ups, and check-ins on their patients. With the payers refining the coverage policies, audit standards, practices have to handle documentation, coding, and billing processes through a more precise operation prism. Remote services have their […]

12 Dec, 25

Effective Denial Management Strategies for General Surgery Billing

Accurate billing is the operational backbone of every general surgery practice. With complex procedures, stringent documentation requirements, and increasing payer scrutiny, even minor errors can escalate into costly denials. For practices looking to strengthen financial performance, streamline workflows, and enhance patient satisfaction, denial management is not merely a tactical necessity; it is a strategic differentiator. […]

11 Dec, 25

Improving Documentation and Coding Accuracy in Home Health Billing

Home health billing has become increasingly complex due to evolving regulatory requirements and stricter payer expectations. For agencies managing clinical workloads alongside reimbursement deadlines and heightened compliance demands, the accuracy of documentation and coding plays a critical role. Precise documentation and accurate coding are essential strategic elements that directly affect revenue generation and audit risk […]

11 Dec, 25

How 2026 Telehealth Policy Changes Are Reshaping Mental Health Billing

The 2026 CMS Physician Fee Schedule (PFS) now establishes a new foundation that redefines how tele-mental health services are delivered, documented, and reimbursed. This shift is not incremental; it represents a fundamental redesign of federal telehealth expectations. Key policies such as home-based telehealth reimbursement at non-facility rates, audio-only parity for behavioral health, permanent removal of […]

09 Dec, 25

Ethical and Compliance Considerations when using AI in Radiology Billing and RCM

As radiology organizations accelerate digital transformation, AI is rapidly becoming the performance engine behind modern revenue cycle operations. From automating high-volume codes like CPT 70450 (CT Head/Brain Without Contrast) to optimizing front-end documentation pathways, AI-driven workflows are redefining cycle time, clean claim ratios, and denial predictability. Imaging groups leveraging AI for coding validation report: Yet […]

09 Dec, 25

The Complete Guide to CPT Code 70450

CT head without contrast, CPT 70450, remains one of the most frequently ordered neuroimaging studies in U.S. healthcare. Emergency departments rely on it to rapidly triage trauma, dizziness, stroke alerts, altered mental status, headaches, and syncope. Primary care clinics use it to rule out neurologic red flags. Urgent care centers increasingly lean on it as […]

09 Dec, 25

CPT Code 76700

CPT 76700 represents a complete abdominal ultrasound and remains one of the most widely billed radiology services in modern clinical practice. Even though it’s one of radiology’s most common exams, payers are far more particular about how it’s billed today compared to just a few years ago. Documentation has to be airtight, the right modifiers […]

04 Dec, 25

Understanding CPT Code 99203 in Pediatric Billing: A Practical Viewpoint

In the world of pediatric billing, there are codes that come and go, reshaped by regulation or payer policy. And then there are codes like 99203, steady, predictable, and frequently utilized across real-world clinical settings. Over three decades of observing how pediatric practices evolve, one thing has stayed constant: clarity in documentation paired with accurate […]

04 Dec, 25

Cardiovascular Stress test CPT Codes

Cardiovascular stress testing remains a cornerstone diagnostic tool in modern cardiology, helping providers assess how the heart performs under exertion and supporting the early identification of coronary artery disease. While the clinical value of these tests is widely acknowledged, navigating the corresponding CPT codes can be challenging, particularly as payer expectations, coding rules, and documentation […]

01 Dec, 25

FY 2026 ICD-10-CM Updates: A Guide for Coding Leaders

The FY 2026 ICD-10-CM update marks one of the most impactful changes in recent years, and anyone working in coding or documentation will notice that this version carries a different weight. The changes extend beyond the usual list of additions and deletions. CMS has tightened definitions, reorganized instructions, and sharpened sequencing expectations in ways that […]