Blogs

CPT (Current Procedural Terminology) codes, maintained by the American Medical Association (AMA), provide a standardized way to describe medical, diagnostic, and therapeutic procedures. CPT code 97535 is one of the most essential codes for therapy professionals, particularly within the scope of physical and occupational therapy services.

In today’s fast-paced healthcare environment, patients move between providers more than ever. One day it’s a primary care visit, the next it’s lab work, followed by a specialist consultation or telehealth check-in. How do we ensure that every provider has access to the right information, at the right time, to give the best care?

Accurate coding for critical care services (CPT 99291 and 99292) is vital for revenue integrity, but strict time documentation, pediatric nuances, and payer rules lead to costly errors. Drawing on first-hand insights from the Cures medical billing team, this guide clarifies how to code ethically, avoid audits, and maximize reimbursements.

Medicare’s 8-Minute Rule is a billing formula used for PT, OT, and Speech Therapy to convert treatment time into reimbursable units. It ensures clinics bill accurately for timed services (like therapeutic exercises) while preventing overcharging.

Cardiac arrhythmias impact over 16 million Americans, making precise ICD-10 coding critical for claims accuracy and compliance. With 30% of cardiology denials tied to coding errors, mastering codes like I49.9 (unspecified arrhythmia) or I48.0 (atrial fibrillation) is essential. In this guide, I’ll break down the top 10 cardiac arrhythmia ICD-10 codes, documentation requirements, and 2025 updates to streamline your billing process.

The 97110 CPT codes (therapeutic exercise) is a cornerstone of rehab billing—but misuse triggers 35% of denials in PT, OT, and chiropractic practices. As a billing specialist, understanding its nuances—from time requirements to Medicare modifiers—is key to clean claims. In this guide, I’ll decode top 97110 FAQs, share reimbursement strategies, and help you avoid costly audits.

The M17.11 ICD-10 code is used to describe primary osteoarthritis (OA) in the right knee, a joint problem that happens when the cartilage wears down over time. This condition leads to bone friction, inflammation, and progressive symptoms:

The CO 197 denial code is a common problem in medical billing, often leading to delayed payments and administrative confusion. Let’s break down its causes, solutions, and prevention strategies with real-world examples to help you reclaim lost revenue.

Navigating physical therapy billing units can feel like solving a puzzle especially with varying rules for Medicare, BCBS, and private insurers. This guide breaks down exactly how to calculate units, avoid denials, and stay compliant.