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A little perspective.
A lot to talk about.

Every item from the Highview bulletin. Practice resources come first, then our guides to coding, claims and denials and our notes on reading your own billing reports, newest first.

News
Revenue cycle

Your A/R report tells a story.

Start with the right distinctions before treating an open balance as missed revenue.

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Resource
New practices

New practice billing setup

For founders opening a practice. The conversations to have about systems, provider enrollment and billing before your first patient, in the order they tend to need attention.

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Resource
Sample report

Sample audit report

What the written report looks like after a free audit call, shown for Northfield Family Medicine, a fictional practice.

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Guide

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.

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Guide

CPT 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.

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Guide

CPT 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.

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Guide

Physical 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.

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Guide

CPT 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.

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Guide

How 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.

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Guide

Benefits 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.

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Guide

Common 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.

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Guide

CPT 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.

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Guide

What 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.

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Guide

Neurology 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.

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Guide

Surgery 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.

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Guide

Benefits 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.

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Guide

Orthopedic 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.

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Guide

CPT 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.

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Guide

Delivery 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.

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Guide

Cardiology 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.

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Guide

7 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.

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Guide

AI 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.

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Guide

Medical 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.

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Guide

Why 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.

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Guide

What 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.

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Guide

CPT 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.

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Guide

Does 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.

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Guide

CPT 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.

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Guide

Wound 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.

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Guide

CPT 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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Let’s talk about your practice.

A conversation is the first step toward the right support.

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