Medical billing is the process of submitting claims to insurance companies or patients for reimbursement of medical services, involving coding, claim generation, and following up on payments to ensure healthcare providers get paid.
The global medical billing outsourcing market is no longer a small back-office niche. In 2025, the industry is worth an estimated USD 18.2–19.3 billion, up from earlier projections of USD 16.89 billion. What’s clear is that outsourcing medical billing has become mainstream, not just for large hospital networks but for small and mid-sized practices as … Read more
Introduction: Gastroenterology is one of the most procedure-heavy specialties in medicine. Accurate use of CPT codes is critical not only for reimbursement but also for compliance with payer policies. Below is a curated list of commonly used GI CPT codes, including their descriptions, time frame requirements, bundling restrictions, and usage conditions. What is CPTS for … Read more
Introduction If you’ve ever had physical therapy, chances are you’ve seen a bill full of codes that look like secret messages: 97110, 97140, 97530. To most patients, they’re just numbers. To a physical therapist or medical biller, they’re the language of reimbursement. These numbers are called CPT codes short for Current Procedural Terminology. They’re how … Read more
Introduction CPT code 90837 is one of the most widely used psychotherapy billing codes in mental health services. It represents individual psychotherapy sessions lasting 60 minutes and is essential for accurate reimbursement in therapy practices. While patients see it as “an hour with a therapist,” medical billers know it comes with strict documentation, time requirements, … Read more
The COVID-19 pandemic forced healthcare systems to adapt quickly. Beyond treatment, one major challenge was billing — how to accurately code for new tests, therapies, and vaccines so insurers, hospitals, and researchers could stay on the same page. That’s where CPT for COVID-19 comes in. CPT (Current Procedural Terminology) codes are the universal language of … Read more
If you work in medical billing or mental health, you’ve probably come across CPT code 90863. It’s an important code, but also one that gets mixed up a lot. Knowing how and when to use 90863 can make a big difference in billing accuracy, insurance approval, and how providers get paid for the care they … Read more
Accurate CPT coding is the backbone of clean claims, timely reimbursement, and compliance in medical billing. One of the most commonly used codes in vaccine administration is CPT 90471. If billed or documented incorrectly, it can trigger denials, payer audits, and delayed payments. This guide explains what CPT 90471 covers, when to use it, how … Read more
When someone is admitted to the hospital, one of the first questions doctors ask is about their code status. This helps guide what should happen in an emergency, such as if the patient’s heart stops or they stop breathing. The most common choice is Full Code. Let’s break down what it means, how it works, … Read more
In medical billing, getting the right Place of Service (POS) code is critical for accurate claims and timely reimbursements. One such code, POS 21, plays a key role when billing for inpatient hospital services. If it’s used incorrectly, providers risk denials, underpayments, and revenue delays. This article explains what POS 21 means, when it should … Read more
Accurate medical coding is critical for smooth billing, clean claim submissions, and timely reimbursement. One of the most frequently used immunization administration codes is CPT 90471, which covers the initial vaccine given by injection during a patient encounter. Getting this code right is important not only for compliance with AMA CPT® guidelines but also for … Read more