CO-97 Denial Code: What It Means and How to Resolve It
What CARC 97 means on a remittance, why payers apply it, and how to decide between a corrected claim, an appeal and a contractual adjustment.
Read the guideCPT Code 99214: Requirements and Documentation
When an established patient office visit supports 99214, how medical decision making and total time decide the level, and what the record needs to show.
Read the guideCPT Codes for Injections: Joints, Drugs, Units and Modifiers
How injections are coded, from joint injections (20600–20611) and drug administration (96372) to J-code units, NDCs and Medicare's JW and JZ modifiers.
Read the guidePhysical Therapy CPT Codes: Evaluations, Units and Modifiers
The PT evaluation codes 97161–97164, how Medicare's 8-minute rule turns minutes into units, and when the GP and KX modifiers and plan-of-care rules apply.
Read the guideCPT Code for X-Ray: Body Area, Views and Modifiers
How X-ray CPT codes are chosen by body area and number of views, how the 26, TC, FX and FY modifiers work, and what patients see on an X-ray bill.
Read the guideHow to Increase Medical Practice Revenue: A Billing Guide
How a practice can increase revenue by collecting what it has already earned, correctly, and why coding higher than the record supports is not one of the ways.
Read the guideBenefits of Outsourcing Medical Billing vs. In-House
A fair comparison of outsourced and in-house medical billing, covering benefits, trade-offs, signs it's time to change, and what to ask a billing company.
Read the guideCommon Medical Billing Mistakes and How to Fix Them
The process mistakes that cost practices revenue, from skipped eligibility checks to unworked denials and unreturned overpayments, and how to fix each one.
Read the guideCPT vs ICD-10 Codes: What’s the Difference?
CPT codes report what a physician did and ICD-10-CM codes report why. How the two code sets differ, who maintains them and how they meet on a claim.
Read the guideWhat Is a Clean Claim in Medical Billing?
How Medicare and Medicaid define a clean claim, why it matters for payment timing, what a clean claim contains, and how to submit one first time.
Read the guideNeurology CPT Codes: EEG, EMG and Nerve Studies
The main neurology CPT code groups, from EEG, EMG and nerve conduction studies to sleep testing and spine procedures, with the Medicare rules that bundle them.
Read the guideSurgery CPT Codes: Ranges, Global Periods and Modifiers
How the surgery section of CPT is organized, how Medicare's 0, 10 and 90-day global periods work, and which modifiers apply to surgical claims and when.
Read the guideBenefits of Revenue Cycle Management for Practices
What revenue cycle management covers, how billing fits into it, and how managing the whole cycle improves cash flow and profitability, plus what it can't fix.
Read the guideOrthopedic Medical Billing: Codes, Rules and Common Denials
How orthopedic billing works, the Medicare rules that shape it (global periods, fracture care, arthroscopy, modifiers) and where orthopedic claims go wrong.
Read the guideCPT Codes for Arm Fracture Treatment: Closed vs Open
How arm fracture CPT codes are chosen by bone, site and treatment type, what Medicare's 90-day fracture care package includes, and how casting is billed.
Read the guideDelivery CPT Codes and the 2027 Maternity Code Changes
How delivery is billed with the global obstetric codes through 2026, what the package includes, and how CPT's January 2027 maternity restructure replaces it.
Read the guideCardiology CPT Codes: Common Codes and Billing Rules
The main cardiology CPT code groups, how professional and technical components split, and Medicare's bundling rules for cath, PCI, echo and stress tests.
Read the guide7 Medical Billing KPIs and How to Calculate Them
Seven billing KPIs every practice can track, each with its formula, what it tells you and the traps that make two practices’ numbers impossible to compare.
Read the guideAI in Medical Billing: Uses, Limits and Compliance
Where AI tools help in medical billing, where they get it wrong, and the HIPAA and review safeguards a practice needs before it relies on one.
Read the guideMedical Billing Trends in 2026: What Practices Should Know
The 2026 changes that affect how practices bill and get paid, from prior authorization deadlines and Medicare fee schedule changes to code updates.
Read the guideWhy Insurance Claims Get Denied and How to Prevent It
The common reasons insurance claims are denied, the reason codes payers use for each, and the step in your workflow that prevents it.
Read the guideWhat Is Medical Billing? How It Works, Step by Step
What medical billing is, how a claim moves from registration to payment, how billing differs from coding, and where claims most often stall.
Read the guideCPT Code 99203: The New Patient Office Visit
What 99203 covers, who counts as a new patient under Medicare's three-year rule, and how low medical decision making or total time supports the code.
Read the guideDoes Insurance Cover Urgent Care? What to Check First
How Medicare and private health plans usually cover urgent care, what you may pay, and what surprise-billing protections do and don’t cover.
Read the guideCPT Code 99459: The Pelvic Exam Add-On
What add-on code 99459 is, which visit codes it is reported with, how Medicare values it, and how it differs from the G0101 screening exam and RPM codes.
Read the guideWound Care CPT Codes: Debridement, Skin Substitutes, NPWT
How wound care CPT codes are chosen, from debridement by depth and surface area to negative pressure therapy and skin substitutes, with Medicare's 2026 rules.
Read the guideCPT Code 73721: Knee and Leg Joint MRI Without Contrast
What CPT 73721 covers, how it differs from 73722 and 73723, how the 26 and TC modifiers split the study, and what to check on prior authorization.
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Billing guides.
Practical notes on codes, claims and the revenue cycle, written for the people who do the billing work.
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