Practical knowledge from people who do the work.
Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
Billing Supplies in the Office: 99070, HCPCS A Codes and What Payers Bundle
Splints, slings, dressings and trays leave the supply closet every day, and most of them never reach a claim. We explain when 99070 works and when it never will, which HCPCS A, Q and L codes payers actually pay, what NCCI bundles into the procedure, and where the supply dollars are worth chasing.
How to Amend a Medical Record Correctly: Late Entries, Addenda and Corrections
Every practice fixes charts. The question is whether the fix survives a records review. We explain the three kinds of amendments, the Medicare rules for labeling and dating them, how to handle a patient's HIPAA amendment request, and the shortcuts that turn a documentation gap into a falsification problem.
Denial Prevention for Surgical Practices: Modifiers, Globals and Authorizations
Surgical denials are expensive because each one is large and the fix usually needs the surgeon. Most trace to four causes: a missing or wrong modifier, a visit billed inside a global period, an authorization for a different CPT, and bundling edits nobody checked. Here is how to prevent each, before the claim leaves.
Chronic Pain Management Codes G3002 and G3003: Requirements and Monthly Billing
Medicare has paid for a monthly chronic pain management bundle since 2023, and most primary care practices still do not bill it. We explain who qualifies, what G3002 and G3003 require in the first visit and every month after, how the 30-minute rule works, and how the codes fit with CCM and PCM.
Coding Education for New Providers: A Six-Week Onboarding Plan
New physicians and advanced practice providers starting this summer learned medicine, not billing. The first ninety days set habits that last a career. Here is the six-week coding curriculum we use, what to audit at day 30 and day 90, and the five mistakes new providers make most often.
How to Prepare a Practice for PCMH Recognition: The Order of Work That Holds Up
Recognition follows workflows, not binders. A practical order of work for practices starting toward the medical home: a champion with protected time, an honest assessment, access and coordination workflows first, EMR reports confirmed early, an evidence library built as you go, and a plan for annual reporting.
Medical Record Signature Requirements: What Medicare Reviewers Accept and Reject
A missing or illegible signature can sink an otherwise perfect claim in a Medicare review. We explain the signature requirements for notes and orders, which electronic signature formats pass, when a signature log or attestation saves the claim, and the shortcuts that get records rejected.
How to Bill Home Health Certification: G0180, G0179, G0181 and the Face-to-Face
Signing a stack of home health plans of care is billable work that most primary care offices give away. We explain when G0180 and G0179 apply, what the face-to-face encounter must show, how to count the 30 minutes behind G0181, and the documentation that survives a Medicare review.
How to Bill Newborn Claims: The 30-Day Enrollment Window and Month-Two Denials
Newborn claims pay in month one and deny in month two because nobody added the baby to the plan. We walk through the three coverage clocks that start at delivery, how to bill under the mother's ID, the CARC codes that follow, and the front desk script that stops the problem.
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