Blog
Medical Billing and RCM Insights
We write practical articles on denials, credentialing, coding and what it takes to run a healthier revenue cycle.
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CO-97 Denial Code: Service Included in Another Payment (Bundling)
What CO-97 means, how NCCI bundling edits cause it, when a modifier such as 25 or 59 is justified, and when the adjustment is simply correct.
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CO-16 Denial Code: Claim Lacks Information (Meaning and Fix)
What CO-16 means, why it always comes with a remark code, the most common causes and how to correct and resubmit the claim.
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CPT 90785: Interactive Complexity Add-On Code Explained
What CPT 90785 interactive complexity means, the four qualifying factors, the codes it can and cannot be added to, and common mistakes.
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90837 vs. 90834: Which Psychotherapy Code to Bill
The difference between 90837 and 90834, the time rule that separates them, their E/M add-ons, and how to choose the right one.
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CPT 90832: How to Bill 30-Minute Psychotherapy
What CPT 90832 covers, the 16 to 37-minute time band, how it differs from add-on 90833, and the mistakes that cause denials.
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CPT 90834: How to Bill 45-Minute Psychotherapy
What CPT 90834 covers, the 38 to 52-minute time band, when to use it instead of 90832 or 90837, and the common billing mistakes.
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CPT 90837: How to Bill 60-Minute Psychotherapy
What CPT 90837 covers, the 53-minute rule, the documentation payers expect, the E/M add-on code and the common reasons it gets denied.
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POS 22: On-Campus Outpatient Hospital Place of Service Explained
What POS 22 means, the CMS definition, how professional and facility claims are billed, and how it differs from POS 11 and POS 19.
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POS 02 vs. POS 10: Which Telehealth Place of Service to Use
The difference between POS 02 and POS 10, how Medicare pays each, and a simple way to pick the right telehealth place of service.
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POS 10: Telehealth Place of Service for Patients at Home
What POS 10 means, the CMS definition, how Medicare pays home telehealth, the current extension dates and common billing mistakes.
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