CPT/HCPCS claim denials occur when insurance payers refuse to reimburse submitted claims due to issues such as incorrect coding, insufficient documentation, improper modifier usage, or failure to establish medical necessity.
Medical billing is the lifeblood of your practice, no question about it. You can provide the very best patient care out there, but if your billing hits a snag, the whole operation feels it.
Medical billing modifiers are two-digit CPT or HCPCS codes that provide additional details about how, where, or why a service was performed.
CPT and HCPCS codes are standardized coding systems used in medical billing to report healthcare services, procedures, supplies, and medications for insurance reimbursement.
CPT coding is the standardized medical coding system used to translate office visits, laboratory tests, therapy sessions, and imaging procedures into billable claim codes before submission to insurance payers.
A medical billing documentation checklist provides a structured framework to ensure accurate, compliant, and auditable records that support reimbursement from third-party payers.
The 2026 CPT and HCPCS Level II updates introduce new codes and restructuring that directly impact medical billing, coding accuracy, and healthcare compliance.
HCPCS Level II codes are standardized codes used to bill for medical supplies, equipment, and drugs in patient care.
Medical claim submission is the process of accurately reporting healthcare services using CPT, HCPCS, and ICD-10 codes to ensure timely reimbursement and compliance.
Accurate medical billing and coding means assigning the correct CPT and HCPCS codes to medical services to ensure timely reimbursement and regulatory compliance.
