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Durable Medical Equipment billing looks straightforward at first glance. Pick a code. Submit a claim. Get paid. But anyone who has worked hands-on with DME claims knows it rarely works that way. HCPCS codes sit at the center of every DME transaction. They decide how equipment is classified, how it is billed, and whether reimbursement […]

Family psychotherapy is no longer optional in behavioral health. It is central to effective treatment. CPT code 90847 exists because mental health conditions rarely develop in isolation. Family dynamics, communication patterns, trauma exposure, and caregiver behavior often shape patient outcomes. Still, this code creates confusion, and many providers use it casually. Payers do not see […]

Mental health billing is rarely straightforward. Services overlap. Providers work as teams. Sessions happen in offices, hospitals, schools, and homes. Add telehealth into the mix, and billing can feel like juggling glass plates. This is exactly where modifiers step in. Modifiers do not change what service you provided. They explain how, by whom, where, and […]

Many patients, employers, and healthcare providers confuse Optum and UnitedHealthcare because both operate under the same corporate umbrella. However, their roles in the modern healthcare ecosystem are fundamentally different. One focuses on insurance coverage. The other focuses on care delivery, pharmacy, and health technology. Understanding this difference matters. It affects how claims get paid. It […]

Medicaid billing for mental health services often feels confusing, time-consuming, and risky. One small mistake can delay payments or trigger denials. Still, Medicaid remains a major payer for behavioral health care, and many practices depend on it to stay stable. The key is understanding how Medicaid thinks. It does not just look at codes. It […]

GI cocktails are part of daily practice in many emergency departments and urgent care centers. Providers often give them to patients with upper abdominal pain, heartburn, or chest discomfort that appears non-cardiac. Clinically, this approach feels routine and low risk. Billing for GI cocktails is different. Coding errors happen often. Many providers assume medications can […]

Mental health practices across the United States are under pressure. Demand is rising. Staffing is tight. Reimbursement rules keep changing.  In the middle of all this, many practices leave money on the table simply because they do not fully understand incident-to billing. Incident-to billing is not new. Medicare has allowed it for decades. Yet, in […]

Healthcare billing never stands still. Rules change. Payers tighten controls. Compliance checks grow sharper. In the middle of all this, two identifiers continue to confuse providers more than they should. The National Provider Identifier (NPI) and the Tax Identification Number (Tax ID or TIN). They look simple on paper. Yet in medical billing, mixing them […]