8 Minute Rule Billing: A Guide to CPT Code Units
TL;DR: The 8 minute rule billing standard requires you to total all timed treatment minutes in one session, then bill by CMS […]
How to Read an Explanation of Benefits for Practices
Most practices read an Explanation of Benefits too casually. That’s a mistake, because an EOB is not just a payment notice. It’s […]
Expert Guide: How to Appeal a Denied Insurance Claim
To appeal a denied insurance claim, your practice needs a disciplined process: identify the exact denial reason from the ERA or EOB, […]
PR 119 Denial Code: What It Is and How to Fix It
A PR 119 denial code means the payer says the patient has reached a benefit maximum for that service, and the balance […]
Mastering the 93017 cpt code: 2026 Guide
93017 cpt code is the billing code for the technical tracing portion only of a cardiovascular stress test. If your team bills […]
GY Modifier Meaning: Medicare Exclusions & Usage
If your team keeps seeing Medicare denials for services you already know are non-covered, the GY modifier is usually the right signal. […]
Mastering CPT Modifier 59 for Clean Claims in 2026
CPT Modifier 59 is used to identify a "Distinct Procedural Service," telling a payer that a procedure or service, normally bundled into […]
Mastering Days in AR: Strategies to Optimize Cash Flow in 2026
Days in Accounts Receivable (AR) is a key performance indicator that measures the average number of days it takes a medical practice […]
Your Expert Guide to the ICD-10 Code for Weight Loss (2026)
The primary ICD-10 code for weight loss is R63.4 (Abnormal weight loss), but this code must only be used for patients experiencing […]
Your Ultimate Anesthesia CPT Code Reference Guide for 2026
Anesthesia CPT codes, found in the 00100 to 01999 range, are billed using a specific formula: (Base Units + Time Units + […]
Navigating Modifier 26 vs TC: A Guide for Physician Practices
The critical difference between modifier 26 and modifier TC is how they divide a procedure's payment: modifier 26 pays for the physician's […]