Blog
Discover our latest articles and blogs
Nurse-Only Visit Billing: When 99211 Is Safe to Bill
Learn when a practice can bill a nurse-only visit with CPT 99211, what incident-to supervision requires, and what the note must show to hold up in an audit.
Vaccine Administration Documentation: What to Record
What a physician practice must record for every vaccine: lot, manufacturer, VIS dates, site, route, screening, IIS reporting and retention, plus billing proof.
LCD vs NCD: What Medicare Billers Need to Know
LCD vs NCD explained for physician practices: who issues each, which one controls, how to look them up in the MCD, and how to avoid denials.
Modifier 22 Documentation: What Payers Need to See
Modifier 22 documentation made practical: when it applies, what the operative report must say, weak vs. strong examples, and a pre-bill checklist for practices.
Vaccination Administration Coding: Codes, Rules, Checks
Pick the right vaccine administration code: 90471–90474, 90460/90461, Medicare G-codes and 90480, plus the documentation and pre-bill checks that prevent denials.
Problem List vs Encounter Diagnosis: What Your Practice Must Document
Problem list vs encounter diagnosis: what each one records, why a problem list alone won't support a claim or HCC, and how to fix the gaps in your practice.
Modifier 24 vs. 25 vs. 57: Which One Fits the Visit
Modifiers 24, 25 and 57 all attach to E/M visits around a procedure. Learn how to choose, document and defend each one before a payer questions it.
Remote Patient Monitoring Documentation: What Auditors Expect
What your practice must document for remote patient monitoring billing: consent, orders, devices, 16-day data, time logs and interactive communication, with a checklist.
ABN Documentation: What Medicare Requires From Your Practice
How to document a valid Advance Beneficiary Notice (CMS-R-131): when it's mandatory, what each field needs, how to retain it, and what audits look for.