Mastering CPT Code 23472: The Complete Guide to Shoulder Arthroplasty Billing & Coding
Shoulder arthroplasty is a complex procedure—and when it comes to coding it accurately, CPT Code 23472 is at the center of correct reimbursement and reduced claim denials. For orthopedic surgeons, billing teams, and private practices, mastering the nuances of CPT 23472 can significantly streamline revenue cycles and ensure compliance. In this comprehensive guide, we break […]
Mastering Modifier Q9 for Routine Foot Care Billing: A Complete Guide for Podiatry Practices
What is Modifier Q9? Modifier Q9 is used specifically for routine foot care procedures under Medicare. It indicates that a patient has one Class B and two Class C findings documented during a physical foot evaluation. The modifier helps prove medical necessity in otherwise non-covered foot care services like callus removal or nail debridement. ✅ […]
CPT 97598 Demystified: A Complete Billing Guide for Wound Care Providers
In the United States, over 6.5 million patients suffer from chronic wounds annually, making accurate billing for wound care services more crucial than ever. For healthcare providers and medical billing teams, even a small coding error can result in costly denials and delayed reimbursements. One of the most frequently misunderstood and denied codes in this […]
Mastering CPT Code 95811: Billing Guide for Sleep Studies with CPAP Titration
Are you billing CPT code 95811 correctly? If you’re a primary care provider, pulmonologist, or neurologist, chances are you’re already familiar with sleep studies. But knowing the procedure isn’t enough—understanding how to accurately code and bill for polysomnography with CPAP titration is critical for ensuring timely reimbursements and avoiding costly denials. Sleep disorders are no […]
CPT Code 97602: Wound Care Billing Guide for 2025
Struggling with CPT 97602 claim denials? You’re not alone. Non-selective debridement claims are one of the most rejected in wound care billing. Why? Misunderstanding the documentation requirements and incorrect code usage are to blame. In this definitive guide, our billing experts break down CPT Code 97602, clarify common mistakes, and show you how to […]
Easy Guide to Modifier Q8 for Routine Foot Care Billing
Is Medicare denying your podiatry claims for routine foot care? You’re not alone—and there’s a solution. Modifier Q8 could be the key to preventing costly denials when billing for medically necessary services. Given Medicare’s strict rules excluding routine services, many practices lose revenue unnecessarily. Podiatrists, in particular, face higher denial rates than other specialties. So, […]
PT Credentialing Simplified: A Guide for Physical Therapists in 2025
PT credentialing guide A practical, step-by-step playbook for Physical Therapists and PT clinic owners: from NPI & CAQH to Medicare PECOS, payer contracting, timelines, re-credentialing, and compliance—built for speed, accuracy, and revenue. Jump to mini-navigation ↓ Overview PT Credentialing Checklist NPI CAQH ProView Medicare & PECOS Commercial Payers Timelines Foreign-Educated PTs Avoid These Mistakes FAQ […]
How to Credential with Blue Cross Blue Shield
Credentialing with Blue Cross Blue Shield (BCBS) is one of the most essential steps a healthcare provider can take to ensure they can see insured patients, get reimbursed for services, and grow their practice. Think of BCBS credentialing like getting your golden ticket into one of the largest payer networks in the United States—without it, […]
How to Enroll as a Medicare Provider
Why Enrolling as a Medicare Provider Matters If you’re a healthcare professional or organization looking to expand your practice, enrolling as a Medicare provider is a crucial milestone. Medicare enrollment isn’t just a bureaucratic hoop—it opens the door to serving millions of seniors and disabled individuals who rely on this federal insurance program. But here’s […]
CAQH Credentialing: Ultimate Guide for Providers in 2025
In today’s complex healthcare landscape, mastering CAQH credentialing isn’t just a nice-to-have — it’s a must for every healthcare provider who wants to get paid quickly, join insurance networks, and avoid administrative nightmares. Yet, many professionals still find themselves overwhelmed by the maze of requirements, deadlines, and technical jargon associated with CAQH. Whether you’re a […]
