What is an 837 file?
An 837 file is the electronic claim (X12 EDI) providers send to payers. 837P vs 837I, how to read one, and a worked example.
What is electronic remittance advice (ERA)?
An electronic remittance advice (ERA) is the electronic file a health plan sends to explain how it processed your claims. Its standard format is the HIPAA 835, which is why ERA and 835 file get used interchangeably. CMS defines it as an explanation from a health plan to a provider about a claim payment. After […]
Denial codes in medical billing: The top 20 CARC codes and how to fix them
The denial codes billers see most, what each CARC code means, and how to fix it — with a free PDF cheat sheet to download.
CPT code 20102: Penetrating wound exploration billing
CPT code 20102 covers exploring a penetrating abdomen, flank, or back wound. Read more on the separate procedure rule, modifiers, CY2026 RVUs, and ICD-10 pairs.
CPT code 21432: Open treatment of craniofacial separation (LeFort III)
CPT code 21432 describes the open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation. That is the descriptor published by the American Medical Association’s CPT Editorial Panel in the AMA CPT code set. Two elements of it carry the whole code. The injury must be a LeFort III craniofacial separation, and […]
CPT code 24410: Humeral osteotomy with intramedullary rod
CPT code 24410 covers multiple humeral shaft osteotomies realigned over a rod. It totals 29.25 RVUs, pays about $977, and is facility-only.
CPT code 21465: Open treatment of mandibular condylar fracture
CPT code 21465 covers open treatment of a mandibular condylar fracture. Medicare pays $723.80 in 2026, and there is no closed condyle code.
HCPCS code J1800: Propranolol HCl injection billing guide
J1800 bills per 1 mg of propranolol. Get the unit count, the NDC, and the JW or JZ modifier right and most denials never happen.
ICD-10 Code O61.1: Failed instrumental induction of labor
ICD-10 Code O61.1 is a billable ICD-10-CM diagnosis code for failed instrumental induction of labor. It applies when a mechanical or surgical attempt to start labor does not produce active labor. The code is valid for female patients aged 12 through 55. Most O61 coding errors come from one decision. Oxytocin and prostaglandin failures belong […]
Medicare Consent to Release form: Free template
Download your free Medicare Consent to Release form This is the CMS form that authorizes release of Medicare claim and entitlement records to a named representative. It covers beneficiary details, representative details, the scope of release, and the expiration date. Download template The Medicare Consent to Release (CTR) form authorizes CMS to release a beneficiary’s […]