Pediatric Coding Guidelines for Chronic Conditions and Long-Term Care

Accurate coding plays a crucial role in ensuring proper reimbursement and compliance in pediatric healthcare. With evolving Pediatric Coding Guidelines, providers must stay updated on the latest changes to avoid claim denials and revenue losses. Chronic conditions and long-term care require detailed documentation, making it essential to follow CMS guidelines and best practices for accurate […]

Latest CPT Code Updates and Their Effect on Hospital Surgery Billing

Let’s face it—keeping up with CPT code updates isn’t exactly the most exciting part of running a hospital. But if you want to avoid claim denials, lost revenue, and headaches, it’s something you can’t ignore. The Centers for Medicare & Medicaid Services (CMS) has rolled out new changes for 2025, and they’re going to shake […]

Understanding the ASC Quality Reporting Program: A Guide for Ambulatory Surgical Centers

The ASC Quality Reporting Program, established by the Centers for Medicare & Medicaid Services (CMS), is a crucial initiative to improve the quality and transparency of ambulatory surgical care in the United States. At Medical Billers and Coders (MBC), we understand the complexities of Medicare compliance and strive to help ASCs navigate reporting requirements effectively. What […]

Common Substance Use Disorder Coding Errors Aligning with CMS’s Updated Guidelines

Avoiding Costly Mistakes in Substance Use Disorder Coding Accurate medical coding isn’t just about numbers and codes—it directly impacts your reimbursements and compliance with the latest CMS regulations. But when it comes to Substance Use Disorder (SUD) coding, even small mistakes can lead to claim denials, revenue loss, and compliance risks. Let’s break down the […]

Medical Coding in 2025: Key Changes from CMS Every Coder Should Know

With CMS 2025 updates, Medical Coding in 2025 is becoming more complex, compliance-driven, and technology-focused than ever before. From ICD-10-CM and CPT code updates to stricter E/M documentation requirements, coders must stay ahead of these changes to ensure accurate claim submissions and maximize reimbursements. At Medical Billers and Coders (MBC), we provide medical coding and […]

Recovering Unpaid Claims Effective Hospital AR Strategies Post-CMS Updates

Managing unpaid claims is a crucial part of keeping a hospital financially healthy. With the latest updates from the Centers for Medicare & Medicaid Services (CMS), it’s more important than ever for hospitals to adopt effective Hospital AR Strategies. This article dives into practical ways to recover unpaid claims, how CMS updates are shaping the […]

Senior Care Costs: How CMS’s Updates Impact SNF Billing Practices

As the need for senior care rises, the Centers for Medicare & Medicaid Services (CMS) is rolling out significant updates in 2025 that will reshape how Skilled Nursing Facilities (SNFs) handle billing. These changes include new regulations, updated reimbursement structures, and stricter documentation requirements. For SNFs, adapting to these updates is crucial to staying compliant […]

Emergency Medicine Billing in 2025: What Physicians Need to Know for Faster Payments & Fewer Denials

With CMS 2025 updates, emergency medicine billing is evolving with stricter E/M coding guidelines, reimbursement shifts, and new audit risks. Emergency departments (EDs) must navigate increased scrutiny on medical necessity, modifier usage, and facility coding. At Medical Billers and Coders (MBC), we specialize in Emergency Medicine Billing Services, ensuring fast reimbursements, compliance with payer policies, […]

Navigating Chiropractic Billing in 2025: Your Friendly Guide to Staying Ahead

As we step into 2025, chiropractic providers are facing a wave of updates—stricter documentation rules, evolving CPT codes, and tighter insurance restrictions. But don’t stress! We’re here to break it down in plain English, so you can focus on what you do best: patient care. Staying ahead in chiropractic billing means keeping up with these […]

Mastering DRG Coding: Ensuring Accurate Hospital Billing Under New CMS Rules

Accurate hospital billing is the backbone of financial stability for healthcare providers. With CMS rolling out new rules for 2025, hospitals must refine their DRG (Diagnosis-Related Group) coding processes to prevent revenue loss and ensure compliance. DRG coding plays a vital role in determining reimbursements, and even minor inaccuracies can lead to claim denials, audits, […]