Specialty-Specific Billing
Dermatology Global Periods: Billing Postoperative Visits Correctly
How dermatology practices track 0-, 10- and 90-day global periods, recognize included follow-up care, and use modifiers 24, 58, 78 and 79 when they apply.
Published
Specialty-Specific Billing
Biologic Drug Authorization in Dermatology: Coordinating Pharmacy and Medical Benefits
How dermatology practices manage biologic prior authorizations for psoriasis, eczema and other conditions, coordinate specialty pharmacies, and track renewals.
Published
Specialty-Specific Billing
Transitional Care Management in Family Practice: Contact, Visit Timing, and Billing
How family practices bill transitional care management after discharge: the two-business-day contact, face-to-face timing, MDM levels, and common errors.
Published
Healthcare Practice Management
Referral Authorizations in Family Practice: Coordinating Specialist Care
How family practices manage HMO referrals and prior authorizations for specialist care, imaging and procedures so patients and specialists are not left with denials.
Published
Insurance and Payer Updates
Medicare vs. Commercial Preventive Benefits: What Family Practices Should Know
Why Medicare does not cover routine physicals, how the IPPE and Annual Wellness Visit differ from preventive medicine codes, and how ACA plans cover preventive care.
Published
Specialty-Specific Billing
Colonoscopy With Polyp Removal: Coding by Technique and Documenting Each Lesion
How GI practices code colonoscopy polyp removal by snare, forceps or ablation, document each lesion, and handle screening procedures that become therapeutic.
Published
Specialty-Specific Billing
Adult Vaccine Billing in Internal Medicine: Part B, Part D, and Commercial Plans
How internal medicine practices bill adult vaccines: Medicare Part B vs Part D vaccines, product and administration codes, and commercial preventive coverage.
Published
Specialty-Specific Billing
Specimen Collection and Venipuncture Billing for Laboratories
How laboratories and practices bill venipuncture, Medicare specimen collection fees, travel allowances and handling codes without duplicating collection charges.
Published
Specialty-Specific Billing
Sleep Testing Billing in Neurology: Polysomnography, Home Testing, and MSLT
How neurology and sleep practices bill in-lab polysomnography, home sleep apnea testing and MSLT, split professional and technical work, and meet payer rules.
Published
Specialty-Specific Billing
Repeat Diagnostic Testing in Neurology: Modifiers 76 and 77 and Medical Necessity
When neurology practices can bill repeat EEGs, nerve studies and other tests on the same day or within short intervals, and how modifiers 76 and 77 apply.
Published
Specialty-Specific Billing
Colposcopy, Cervical Biopsy, and LEEP Billing: A Gynecology Claim Review
How OB/GYN practices code colposcopy with biopsy or endocervical curettage, LEEP procedures, global periods and diagnosis linkage after abnormal screening.
Published
Specialty-Specific Billing
Separate E/M Services During Pregnancy: What Falls Outside Global Maternity Care
How OB/GYN practices identify problem visits outside the global obstetric package, document complications and unrelated conditions, and apply modifiers correctly.
Published
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