Outsourcing Medical Billing and coding

  Psychotherapy providers face an ongoing challenge when it comes to accurate CPT code selection. While CPT 90834 and CPT 90837 are both standard codes for individual therapy, understanding when to use each — and how to support them with proper documentation — is essential to avoid lost revenue and potential audits. The difference may seem minor, but billing errors involving these two codes can significantly affect your revenue cycle and compliance. This guide explains the distinctions between CPT 90834 and 90837, when each should be used, how to meet payer expectations, and ways to strengthen your billing processes without sacrificing reimbursement. Understanding the Basics: CPT 90834 vs. CPT 90837 CPT 90834 is designed for individual psychotherapy sessions lasting approximately 45 minutes, whereas CPT 90837 applies to longer sessions that are at least 53 minutes in duration, per CMS guidelines. However, the distinction isn’t just about clocking the time. These codes also reflect ...

  Navigating Medicare billing in Skilled Nursing Facilities (SNFs) can be overwhelming—even for seasoned healthcare professionals. One of the biggest challenges? Knowing whether a service should be billed under Medicare Part A or Part B . This process, called split billing , plays a crucial role in maximizing reimbursement and avoiding claim denials. For SNFs, getting this right isn’t just about money—it’s about compliance, documentation, and protecting the facility’s long-term financial health. In this article, we’ll break down how split billing works, when each Medicare part applies, and how outsourcing SNF billing can help simplify the process. What Is Split Billing in Skilled Nursing Facilities? Split billing refers to dividing medical charges between Medicare Part A and Part B based on patient eligibility and the type of services delivered. SNFs are responsible for identifying which services fall under each category—and billing accordingly. Mistakes in split billing...

  Wound care billing has become increasingly complex, especially when it involves skin substitute grafts and site preparation procedures. For providers, ensuring accuracy and compliance with CMS and payer-specific rules is no longer optional—it’s essential. Unfortunately, small errors in documentation, CPT coding, or diagnosis alignment can easily trigger denials, delays, or even audits. To navigate this complexity while maintaining efficiency and cost control, many wound care clinics are partnering with offshore billing and coding service providers in India. These teams are trained in the nuances of wound care billing , helping practices stay compliant while streamlining claim workflows. In this blog, we’ll look at how wound care providers can ensure clean billing for skin grafts and wound site preparation, the common challenges they face, and how offshore billing teams can make a measurable difference.   Understanding Skin Substitute Grafts and Site Preparation Ski...