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.
In 2026, every Blue Cross Blue Shield (BCBS) member ID will begin with a three-letter prefix that indicates the plan’s origin, coverage type, and home state. This prefix dictates where claims should be sent, how benefits are processed, and which local BCBS company administers the policy. Therefore, to ensure accurate eligibility verification and claim filing, … Read more
If you run a medical practice, clinic, or billing operation, you already know the frustration: patients love the care you provide, but when the bill arrives, many hesitate, delay, or simply don’t pay. Patient financial services (PFS) — the part of revenue cycle management (RCM) that handles everything from upfront estimates to collections — directly … Read more
If your practice is bleeding revenue through denied claims, delayed payments, or surprise patient balances, the culprit often hides in plain sight: the very first touchpoint with the patient. Patient access and registration — the scheduling, insurance verification, demographic capture, and financial counseling that happen before a single service is delivered — form the foundation … Read more
Quick Summary of G2211 The G2211 CPT code (technically a HCPCS Level II code) is an “add-on” code used to account for the extra work healthcare providers do when managing a patient’s long-term health. Unlike standard visit codes that focus on the “here and now,” G2211 rewards doctors for the deep, trusting relationship they build … Read more
The question “is CPT a procedure code” is one of the most common and important questions in medical billing, coding, and healthcare administration. The short answer is yes, CPT codes are procedure codes. However, that simple answer does not fully explain how CPT codes function, what they include, and why they matter clinically, financially, and … Read more
Yes. In most U.S. health insurance plans, you continue to pay coinsurance after your deductible is met until you reach your out-of-pocket maximum. After that limit is reached, the plan typically pays 100% of covered services for the rest of the plan year. Understanding the Core Terms What Is a Deductible? A deductible is the … Read more
Suture removal CPT coding refers to the Current Procedural Terminology codes used to report the removal of sutures or staples after wound closure. Correct use of suture removal CPT codes is essential for accurate reimbursement, regulatory compliance, and clear clinical documentation. Suture removal is often misunderstood in medical billing because it may be bundled into … Read more
The 97112 CPT code is used to report neuromuscular reeducation services in outpatient rehabilitation settings. It is commonly billed by physical therapists, occupational therapists, and other qualified providers when treatment focuses on restoring movement, balance, coordination, posture, proprioception, or kinesthetic sense. Accurate use of this code is essential for clinical clarity, compliance, and reimbursement. This … Read more
The 93880 CPT code is a diagnostic medical billing code used to report a complete bilateral duplex ultrasound study of the extracranial arteries. In clinical practice, this procedure is most commonly known as a carotid duplex ultrasound. It evaluates blood flow and structural integrity of the carotid and vertebral arteries located in the neck. This … Read more
The J1885 CPT code is a commonly used HCPCS Level II code in outpatient, emergency, and surgical settings. It is used to report ketorolac tromethamine injection, a nonsteroidal anti-inflammatory drug (NSAID) given for short-term pain control. Accurate use of the J1885 CPT code is critical for: This guide explains the clinical meaning, correct billing units, … Read more