A busy Monday morning in a radiology department: the waiting room is full, the phones keep ringing, and radiologists are rushing to read scans. In the middle of this, the billing team struggles with piles of reports while trying to match each patient's procedure with the correct medical codes. One...
How to Accurately Bill Timed and Untimed CPT Codes in Physical Therapy
Billing correctly in physical therapy begins with understanding the difference between timed and untimed CPT codes. Timed codes are billed based on the actual time a therapist spends providing direct care to a patient typically in 15-minute units. Whereas untimed codes are billed only once per session, regardless of the...
Complete Guide to J-Codes in Medical Billing for Injectable Drugs and Biologics
A patient receives a 10 mg injection of a specialty drug during an outpatient visit. Your team submits the claim using the correct J-Code, but the reimbursement is denied. Why? A minor oversight, such as billing for one unit instead of ten, can cause significant revenue losses and frustration for...
