Home Visit CPT Codes: How to Bill 99341–99350 Correctly in 2026
Home visit CPT codes 99341–99350 explained: new vs. established levels, MDM and time rules, the 2026 G2211 change, and common billing errors.
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Industry InsightsChronic Care Management: The CPT Codes and Rules Practices Get Wrong
Chronic Care Management explained: eligibility, CCM and PCM CPT codes, 2026 rates, and the billing mistakes that most often cause denials.
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ArticleWhat Skilled Nursing Facilities Need to Learn as the TEAM Model Reshapes Hospital Referral Partnerships
As the TEAM model reshapes hospital-SNF partnerships, skilled nursing facilities that prove outcomes through care coordination will win more referrals.
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Industry Insights90837 CPT Code: Why Overusing It Is an Audit Red Flag
CPT code 90837 explained: the 53-67 minute threshold, 2026 reimbursement rate, and why billing it for most sessions is a major audit flag.
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Industry InsightsThe Rural Health Transformation Program: A Roadmap for Building Sustainable Rural Care
Learn how the Rural Health Transformation Program helps rural providers invest in CCM, PCM, RPM, and care management technology for better outcomes.
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Industry InsightsHow Fragmented Special Needs Plan Reimbursement Is Fueling Weaker Outcomes and Rising Hospitalizations in Nursing Homes
Nursing homes face inconsistent reimbursement across I-SNPs, D-SNPs, ACOs, and VBP, creating challenges that can hold back better outcomes and care.
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ArticleRadiology CPT Codes: Why So Many Online Guides Get the Ranges Wrong
Radiology CPT codes 70010-79999, common X-ray codes by body part, TC/26 billing, and the code ranges most online guides still get wrong.
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Industry InsightsCPT II Codes: What They Are and Why They Still Matter for Quality Reporting
A complete guide to CPT Category II codes, including the A1C, blood pressure, and HEDIS-linked codes, modifiers, and how they differ from Category I.
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ArticleI-SNPs: Why Enrollment Quadrupled But Most Nursing Homes Still Don't Have One
I-SNPs (Institutional Special Needs Plans) explained: eligibility, the on-site care model, and why 60% of U.S. counties still lack them.
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Industry Insights97151 CPT Code Description: What Changed as ABA Spending Hit $10 Billion
CPT code 97151 description, unit limits, and the full ABA CPT code set 97151-97158, plus CMS's new 2026 Medicaid ABA oversight toolkit.
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ArticleChiropractic CPT Codes 2026: The AT Modifier Problem
A complete guide to chiropractic CPT codes 98940-98943, AT modifier rules, spinal region documentation, and Medicare’s highest improper payment rate for chiropractic care.
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ArticleSpeech Therapy Billing Codes 2026: The SLP Cheat Sheet
A complete speech therapy billing codes cheat sheet - CPT 92507, evaluation codes, AAC billing, modifiers, and the untimed-code rules unique to SLP.
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Industry InsightsAnesthesia CPT Codes 2026: The Base + Time Unit Formula Explained
A complete guide to anesthesia CPT codes, the base-plus-time unit billing formula, key modifiers, and the 2026 reimbursement rules anesthesiologists need.
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Industry InsightsCCM vs APCM: Why the Right Answer Is Usually Both
CCM and APCM compared: eligibility, codes, rates, concurrent billing rules, and how to segment your Medicare panel instead of picking just one.
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Industry InsightsRPM CPT Codes Just Changed for 2026 - Here's What's Different
A complete guide to RPM CPT codes for 2026, including the new 99445 and 99470 codes, reimbursement rates, and the rules that trip up most practices.
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BlogsAcupuncture CPT Codes: What Medicare Actually Covers and Pays
Acupuncture CPT codes 97810-97814 explained, plus Medicare's narrow chronic low back pain coverage rule, dry needling codes, and billing modifiers.
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Industry InsightsWhat the New PT CPT Codes Mean for RTM Billing in 2026
The three new PT CPT codes for 2026 are explained: RTM codes 98979, 98984, and 98985, the new conversion factor, and what changed for billing.
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BlogsUltrasound CPT Codes: Complete vs. Limited (and Why It Matters for Billing)
A complete list of ultrasound CPT codes by body region, plus the complete-vs-limited billing rule that causes the most claim denials.
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ArticleCPT Codes for Mental Health: The Complete 2026 Billing Guide
A complete guide to CPT codes for mental health, covering psychotherapy, psychiatric evaluation, collaborative care, and behavioral health integration billing.
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BlogsCPT Code: What It Means, the Three Categories, and How It Differs From ICD
Learn what a CPT code is, its three categories, who owns and maintains it, and how CPT codes differ from ICD-10 codes in medical billing.
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BlogsTelehealth CPT Codes: The Complete 2026 Billing Guide
A complete guide to telehealth CPT codes, including audio-only, virtual check-in, and telemedicine codes, plus Medicare's separate billing rules.
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BlogsMRI Code Guide: Common MRI CPT Codes by Body Part
A complete guide to MRI CPT codes by body part - brain, spine, joint, abdomen, and breast MRI codes, contrast rules, and billing modifiers explained.
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Industry InsightsDietary CPT Codes for Medicare Care Management Billing
A guide to Medicare's dietary and nutrition CPT/HCPCS codes - MNT, DSMT, and obesity counseling - and how they fit into care management billing.
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BlogsPhysical Therapy CPT Codes: The Complete Guide for Practices and Billers
The most common physical therapy CPT codes, evaluation tiers, the 8-minute rule, and key billing modifiers outpatient clinics need to know.
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ArticleCMS Rolls Out Risk-Based Survey Model to Modernize Nursing Home Oversight
Learn how CMS's new Risk-Based Survey model changes nursing home inspections, eligibility criteria, and what it means for care quality and compliance.
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