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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CPT 99215: Established Patient Office Visit, High Complexity
What CPT 99215 requires, high medical decision making explained, the 40-minute time rule, prolonged visit add-ons and documentation.
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99213 vs. 99214: How to Choose the Right Office Visit Level
The difference between 99213 and 99214, medical decision making compared side by side, time rules and a quick way to choose.
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CPT 99214: Established Patient Office Visit, Moderate Complexity
What CPT 99214 requires, moderate medical decision making explained, the 30-minute time rule, typical visits and documentation.
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CPT 99213: Established Patient Office Visit, Low Complexity
What CPT 99213 requires, low medical decision making explained, the 20-minute time rule, typical visits, G2211 and modifier 25.
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AI in Medical Billing: What Automation Can and Can’t Do
What AI medical billing and RCM automation actually do today, where they save time, and where you still need people who know billing.
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“This Code Requires Use of an Entity Code”: What It Means and How to Fix It
Why a 277CA rejection says “This code requires use of an Entity Code,” what each entity code points to, and how to fix and resubmit the…
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CPT 90791: How to Bill a Psychiatric Diagnostic Evaluation
What CPT 90791 covers, how it differs from 90792, who can bill it, how often, same-day rules and the reasons it gets denied.
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In-House vs. Outsourced Medical Billing: How to Decide
The real costs of in-house billing, what outsourcing costs, and how to decide which fits your practice.
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How to Choose the Best Medical Billing Company: Questions to Ask Before You Sign
What the best medical billing companies have in common, what to ask before you sign, and the red flags that should make you walk away.
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Credentialing vs. Payer Enrollment: Steps, Documents and Timelines
The difference between credentialing and payer enrollment, the steps for NPI, CAQH, Medicare, Medicaid and commercial plans, and how to avoid delays.
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