August 14th 2025
Master key strategies — from check-in protocols to appeal tactics — that reduce billing errors and improve collections in today’s complex environment.
July 10th 2025
Hidden fees, rising costs and inefficiencies could be cutting into your bottom line.
January 1st 2025
Here are six basic requirements to meet incident-to guidelines and get properly reimbursed for your care.
May 24th 2023
To minimize potential liability for coding compliance issues, providers should go back to the basics, and familiarize themselves with high-risk areas for coding and billing audits and enforcement.
March 6th 2023
Four changes that can improve the value of quality metrics.
Mixing Exam Types?
Can this provider choose elements from both a multisystem and single organ system exam?
Patients' Paperwork
Even though there is a CPT code for completing patient forms, many payers do not reimburse physicians for that service.
Billing for Infusion Services
This physician is billing for blood draws in the hospital outpatient setting.
NPP Versus Physician Visit
Billing for a patient seen on the same day, in the same group, by two different providers.
Locum Tenens In, Provider Out
How should this physician bill for a locum tenens provider?
Hospitalist Admit Billing
This physicians wants to know who should bill for a hospital admission: the surgeon or hospitalist?
Coding: Preventive services; ICD-10 readiness; new ABN form
Medical coding guidance on prevention planning; the ICD-10 transition; ABN advice; and more.
ER Codes
Now that consult codes are gone, how does this doc code for visiting her patient in the ER?
‘Detailed Exam’ Debate
How many systems need to be documented for a detailed exam?
Decision Making for Established Visits
While medical necessity is the primary criteria for payment, medical decision making counts too
Critical Care Code
Meeting the requirements for critical care in the office
Complaint Complexity
Chief complaint or history of present illness?
Coding Profiles for OB/GYN
Medicare's E&M codes by speciality
HCPCS Code for Suture Removal
A reader responds to coding for suture removal
Coding for Pre-Op Exam
This practice was erroneously told to use the -56 modifier when they code surgical pre-ops
Capturing All the Work
What should you do when RVUs don't paint a true picture?
Billing Massage Chair Use
Is there a CPT code for use of a massage chair?
Billing for Vitals Recordings
Billing for medical assistant's work
Billing for Hospitalists
Billing as both a hospitalist and private physician
Billing a Hospital Admit
How to bill for a successive office visit and hospital admission
Bill for a Wasted Controlled Substance?
If a patient declines an injection - can you bill for the cost of the medication?
Discharge Note on a Patient I Never Saw?
This physician wonders why he has to dictate an H&P and discharge summary for a patient he never actually visited.
Code for Suture Removal?
Here's what you need to know when it comes to medical coding to remove sutures.
5010/ICD-10 Transition Checklist
The deadline for conversion from the present electronic claims transaction standard to Version 5010 is fast approaching. Make sure both your practice and systems vendor are ready for the change.
Preparing Your Practice for 5010
Medical practices face two significant deadlines that require planning and testing in 2011. The first is the new 5010 electronic claims transmission standard, the second ICD-10.
Interactive Web Portals
Patient portals can offer better customer service and care, but only if you can get your patients to use it. We examine the pros and cons of jumping on the portal bandwagon.
Records Requests: Know What's Legal
When patient records are requested, your staff could unintentionally put your practice at risk of a HIPAA violation. Here's how to handle requests properly.
Coding: Billing for locum tenens; ICD-10; CMS guidelines
In this issue, a question that asks how many new codes are in the ICD-10 code set.
Disaster Planning for Your Practice
Do you have an emergency plan in place? You should. Our disaster-planning checklist gets you started.
5 Retirement-planning Mistakes to Avoid
Planning for retirement can be tricky, and it’s definitely something you want to get right. Check out these potential pitfalls and how to avoid them.