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What is CPT Code 88305 CPT 88305 is one of the most widely used pathology codes in medicine.  It applies to surgical pathology, Level IV.  That means it covers both the gross examination (visual inspection) and microscopic examination (under the scope) of tissue specimens. In the gross exam, the pathologist inspects the tissue with the […]

Accurate medical coding is the backbone of proper reimbursement and regulatory compliance in healthcare.  Among the numerous codes in the Current Procedural Terminology (CPT) system, CPT 43239 stands out as a frequently used code for gastrointestinal procedures.  In this comprehensive guide, we’ll break down everything you need to know about coding for esophagogastroduodenoscopy (EGD) with […]

Mental health billing can be tricky, especially when it comes to couples therapy and family counseling sessions. If you’ve ever asked, “Can I bill insurance for couples therapy?” or “What’s the difference between CPT 90847 and 90846?”, you’re not alone. CPT codes 90847 and 90846 are the go-to billing codes for family psychotherapy, but they […]

If you’re stepping into mental health care — whether as a psychiatrist, psychologist, therapist, counselor, or running a group practice — one of the first (and most important) hurdles you’ll face is credentialing. It’s the gate you must walk through to get recognized by insurance companies, join their networks, and start seeing clients who want […]

Every day, healthcare providers deliver care in different settings—sometimes in a private office or a hospital outpatient center. But when it comes to getting paid for those services, the difference between these places isn’t just physical—it’s found in two small numbers on a claim: POS 11 and POS 22. These two-digit Place of Service (POS) […]

If you’ve ever submitted a claim to an insurance payer only to have it denied because it was “filed too late,” you know how frustrating timely filing limits can be. Missing these deadlines can mean losing thousands of dollars in reimbursement —a problem that happens more often than you think. This guide will explain everything […]

Identifying and recording the correct guarantor is key to clean claims submission, accurate patient billing, and effective revenue cycle management (RCM). The guarantor plays a central role in the financial responsibility for a patient’s care, and any error in recording this information can lead to billing delays, claim rejections, and unnecessary confusion for both staff […]

Imagine you’re a new specialist joining a group practice or a solo physician opening your clinic. You begin seeing patients, only to have your claims rejected by insurance companies. The reason? You haven’t completed the necessary steps on how to get credentialed with insurance companies, a process essential for getting reimbursed for the services you […]