How to code annual physicals: preventive E/M codes by age, modifier 25 for a same-day problem visit, vaccine administration and payer screening rules.
Coding Annual Physicals and the Add-On Services Around Them Read More »
Anesthesia pays on base units plus time units times a conversion factor. See how each unit is set, who documents it, and where claims quietly lose money.
Anesthesia Billing: Base Units, Time Units and Modifiers Read More »
Track appeal overturn rate by payer, reason code and appeal level, and use recovery per appeal filed to pick which denials your practice should fight.
Tracking Appeal Overturn Rates by Payer Read More »
CAQH, now DataSpring, holds the credentialing record. Availity hosts the payer portals where applications and claims move. Here is which system owns what.
CAQH vs Availity: Where Enrollment Data Actually Lives Read More »
Track ABA authorization units, expiration dates and reauth triggers so sessions stay inside the approved balance and payers keep paying for them.
ABA Authorization Tracking: Units, Dates and Reauth Triggers Read More »
