What is Modifier GZ in Medical Billing?
Medical billing is a complex and tricky field, and with Medicare, accuracy and compliance are crucial. Modifier GZ is one such compliance tool, as it is a code that explicitly tells the Medicare administration that a claim should be denied. Why, then, would any provider submit a claim they know will be denied? The answer […]
What is Modifier XU in Medical Billing?
Transparency and conformity are all that matter in medical billing. Modifier XU is used when the coder needs to provide an accurate description of the unique procedural services that otherwise would be coded under the standard coding edits. As the subdivision of X modifiers introduced by the Centers for Medicare & Medicaid Services (CMS), Modifier […]
What is Modifier XP in Medical Billing?
In medical billing, Modifier XP has proven to be very important for accurate claims processing. Especially when many providers treat patients in the same group on the same day. Coding is becoming more complicated, and enforcement by payers is increasing. It’s necessary to learn how to use this modifier correctly. The Centers for Medicare & Medicaid […]
Acupuncture CPT Codes 2025: Billing Guidelines & Tips
What Are CPT Codes for Acupuncture? CPT codes for acupuncture are a set of numbers that tell payers what service was given. Acupuncturists use these codes to bill insurance. The main codes are 97810 and 97811 for manual acupuncture. They also use 97813 and 97814 for electroacupuncture. Each code covers a session of needling. The […]
What is a Contractual Adjustment in Medical Billing? A Complete Guide for Healthcare Providers
Any healthcare provider, billing team member, or revenue cycle management professional needs to know about contractual changes in medical billing. Changes to contracts have a direct effect on your bottom line and cash flow projections, no matter what size medical practice you operate. This complete guide will explain what contractual adjustments are, how they work, why they are important for […]
Best medical billing companies in Michigan in 2025
Introduction Identifying a reliable medical billing partner in Michigan can be challenging. You need a team that understands your practice’s unique billing needs—from claims submission to coding accuracy. Complex payer requirements and uninsured patient populations may complicate payment collections. Partnering with a top-tier billing service provider can help resolve these challenges efficiently. Credex Healthcare – […]
Best medical billing companies in California
In 2026, running a healthcare business in California will need a lot more than just medical knowledge. Providers have to deal with complicated laws for medical billing, changing rules from payers, regular revisions to coding, and rigorous requirements from the state and federal government. Every year, the administrative load increases. Medi-Cal mandates, commercial payer restrictions, and value-based care […]
Transform Your Practice’s Financial Performance: The Complete Guide to Medical Billing Outsourcing
Healthcare practices today face an impossible balancing act: delivering exceptional patient care while managing increasingly complex administrative demands. As coding regulations evolve, payer requirements multiply, and claim denial rates climb, many practices find themselves drowning in billing complexities that drain resources and compromise their primary mission. The solution? Strategic medical billing outsourcing – a proven […]
8 Essential Services That Revenue Cycle Management Consultants Provide to Transform Your Practice
Healthcare practices face mounting pressure to optimize their financial performance while delivering exceptional patient care. The complexity of modern healthcare billing, constantly evolving regulations, and increasing administrative burdens can overwhelm even the most well-intentioned practices. This is where Revenue Cycle Management (RCM) consultants become invaluable strategic partners. RCM consultants don’t just handle billing – they […]
What Is Credentialing in Medical Billing: Understanding the Critical Link Between Providers and Payment
Few processes in the maze of healthcare management are as vital and yet so vague as credentialing. This key admin function acts as the crucial link that joins healthcare providers with insurance payouts. Let’s explore what credentialing in medical billing involves and why it matters for healthcare practices of all sizes. Defining Credentialing in Medical […]