HCPCS code H1000: Prenatal at-risk assessment billing guide
HCPCS code H1000 pays for one prenatal at-risk assessment under state Medicaid. Read more on the documentation, modifiers, and units that keep it paid.
HCPCS Code C1764: Event recorder, cardiac (implantable)
HCPCS Code C1764: definition and official descriptor HCPCS Code C1764 carries the official descriptor: Event recorder, cardiac (implantable). It is a Level II HCPCS C-code, maintained by CMS, and it represents the supply cost of the implantable cardiac event recorder. The code does not cover the physician’s work or the insertion procedure, which companion CPT […]
HCPCS code V2315: Lenticular myodisc per lens, trifocal
V2315 covers a lenticular myodisc trifocal lens, billed per lens. Denials usually trace to an order that never names the myodisc.
Free superbill template (with a filled-in example)
A free superbill template with every field insurers require, plus a filled-in example and a checklist of what to include.
Claim.MD vs Office Ally: Which clearinghouse should your practice use?
Office Ally is free for participating payers until a $44.95 non-par fee lands. Claim.MD’s flat $120 plan wins at volume.
Medical billing compliance: The laws and violations (+ Downloadable checklist)
Medical billing compliance means billing within the law: FCA, HIPAA, AKS. The rules, violations, and a free checklist for small practices.
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.