Resources
Medical billing resources & guides
Practical guides on medical billing, denials, AR, coding, credentialing and specialty billing, for practice owners and billing teams.
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Spravato (Esketamine) Billing Guide
How Spravato treatment sessions are coded, how the drug supply path changes the claim, what the REMS program requires and where esketamine claims most often go wrong.
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Psychological Testing Billing: 96130-96139
How the psychological and neuropsychological testing codes split evaluation time from test administration time, how to count units, and how to document a testing claim.
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Provider Credentialing Guide
A step-by-step guide to provider credentialing and payer enrollment, from NPI and CAQH to Medicare, Medicaid, commercial panels, EFT/ERA setup and recredentialing.
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Modifier 59 vs XE, XS, XP, XU
The X modifiers are more specific versions of 59. Here is how CMS defines each, how NCCI edits decide when any of them can be used, and therapy examples.
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Modifier 25: When and How to Use It
Modifier 25 lets a same-day E/M visit be paid alongside a procedure, but only when the visit is significant and separately identifiable. Here is how to decide.
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Medicare Billing for LMFTs and LMHCs
Since January 1, 2024, Medicare Part B pays marriage and family therapists and mental health counselors. Here is who qualifies, how to enroll and how to bill correctly.
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Medical Billing vs Medical Coding
Coding turns the visit into standardized codes; billing turns those codes into payment. Learn where each job starts and ends, the rules that connect them and where errors cost money.
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Medical Billing Software vs. a Billing Service
Practice-management platforms handle the routine claim path well, but someone still has to work denials and AR. Here is how software and a billing service compare and combine.
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Common Medical Billing Errors
The medical billing mistakes that cause most denials and delays, where each one starts in the revenue cycle, and the simple checks that stop them from repeating.
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Medical Billing Glossary
Medical billing terminology from A to Z, with short, accurate definitions of the terms practice owners, managers and billers see on claims, remittances and payer contracts.
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