OUR BLOGS

Medicare’s 2026 payment formula changed in ways that hit neurology codes differently. This guide breaks down the conversion factors, efficiency adjustment, and practice expense shift, shows verified RVU data for common neurology codes, and gives your team a checklist to protect revenue.

A completed virtual visit can still be denied. Here’s what’s verified for Medicare, how POS and modifiers trip claims, plus a 10-step workflow, checklist, and scorecard.

Avoid common NCCI mistakes and denials with this practical walkthrough of order, documentation, and claim review.

CPT 91035 covers wireless esophageal pH monitoring -- but it's easily confused with catheter-based 91034, and the code bundles analysis and interpretation in a way that affects date of service. This guide breaks down the code comparisons, documentation requirements, authorization and edit checks, and a full procedure-to-payment workflow for GI billing in 2026.

A supply claim can look simple until missing documentation or the wrong code triggers a denial. This guide covers CPT vs. HCPCS, medical necessity, common pitfalls, and a practical audit checklist.

This guide covers what changed, documentation payers expect, common coding mistakes, and a quick self-check for your urology billing workflow.

CPT 52332 is one of the most billed—and most denied—codes in urology. This 2026 guide covers documentation checklists, modifier rules, NCCI bundling updates, common denial triggers, and payer-specific tips to keep ureteral stent claims clean and paid.

One wrong modifier on a joint injection claim can mean the difference between clean payment and a compliance flag. This 2026 guide breaks down exactly how to bill CPT 20610 when to use it instead of 20611, which modifiers apply and when they vary by payer, the ICD-10 codes that support medical necessity, and the documentation that keeps these claims from getting audited.