Medical Billing and Coding Archives - Page 2 of 4

October 3, 2026 Comments (0)

Medical Nutrition Therapy CPT Codes 2026: The Complete RDN Billing, Reimbursement & Denial-Prevention Guide (97802, 97803, 97804, G0270, G0271)

Registered dietitian nutritionists and the billing teams behind them are facing a tighter enforcement environment in 2026. Since August 3, 2026, claims for medical nutrition therapy (MNT) that arrive without a qualifying diagnosis code attached are being rejected outright not because coverage rules changed, but because payers stopped looking the other way on thin diagnosis […]

October 3, 2026 Comments (0)

Diabetes CPT Codes 2026: The Complete Coding, Modifier and Reimbursement Playbook for Clean Claims

Diabetes is one of the most common chronic conditions in any practice, which makes it one of the highest-volume sources of both revenue and denials. A single patient can generate an office visit, an A1C test, a continuous glucose monitor (CGM) interpretation, education sessions, a retinal screening and a foot exam in the same year, […]

October 3, 2026 Comments (0)

Hypoxia ICD-10 Code Guide 2026: R09.02 vs J96.01, Respiratory Failure Coding, Sequencing & Denial Prevention

Few diagnoses cause as many coding disputes as low blood oxygen. One chart says “hypoxia,” the next says “acute hypoxic respiratory failure,” and a third only says “desaturation, placed on oxygen.” Each phrase leads to a different code, and each code can change severity, reimbursement, and audit exposure. This guide walks through the hypoxia ICD-10 […]

October 3, 2026 Comments (0)

Medicaid Reimbursement in 2026: 9 Proven Ways to Cut Denials, Fix Underpayments, and Get Paid Faster

If your practice treats Medicaid patients, you already know the frustration. The care is the same, but the payment is slower, the rules are stricter, and the denials are harder to explain. In 2026, Medicaid reimbursement is also changing faster than most billing teams can track. The good news is that most Medicaid revenue loss […]

October 3, 2026 Comments (0)

How to Enroll in Hawaii Medicaid (Med-QUEST) in 2026: The Complete HOKU, DHS 1139 and QUEST Plan Guide

Hawaii Medicaid provider enrollment looks simple on paper: create a HOKU account, submit an application, wait for approval. In reality it is three projects sharing one name. The state has to enroll you, the QUEST Integration health plans have to credential you, and your billing setup has to send a clean claim. If any one […]

October 3, 2026 Comments (0)

DME CPT and HCPCS Codes 2026: The Complete Coding, Modifier, and Prior Authorization Billing Guide

If you searched for “DME CPT codes,” here’s the short version: durable medical equipment is billed with HCPCS Level II codes, not CPT codes. CPT belongs to the AMA and reports what a clinician does. HCPCS Level II belongs to CMS and reports what a patient takes home a walker, a CPAP device, a wheelchair, […]

October 3, 2026 Comments (0)

Wisconsin Medicaid Provider Enrollment 2026: The Complete Forward Health Portal Guide

If you bill Wisconsin Medicaid, Badger Care Plus, or Senior Care or you order, refer, or prescribe for patients who use them you have to be enrolled through the Forward Health Portal before a single claim will pay. Not credentialed with a plan. Not licensed in the state. Enrolled, specifically, with the Wisconsin Department of […]

October 3, 2026 Comments (0)

How to Become an Ambetter Provider in 2026: The Complete Enrollment and Credentialing Guide

By the Credentialing Team at Credexa Solutions A physician calls a Centene contracting inbox, fills out an intake form, uploads a CAQH profile, and then waits. Six weeks later, nothing has moved not because the paperwork was wrong, but because nobody told them Ambetter provider enrollment isn’t a single process at all. It’s 29 separate […]

October 3, 2026 Comments (0)

Nursing Facility CPT Codes 2026: The Complete Guide to 99304-99316, POS 31 vs 32, and Denial Prevention

By the Revenue Cycle Team at Credexa Solutions A nursing facility visit gets documented correctly, coded correctly, and still comes back underpaid. Why? Because nursing facility billing has three moving parts that all have to line up on the same claim: the correct CPT code, the correct place of service, and the correct Medicare Part […]

October 3, 2026 Comments (0)

Molina Healthcare Timely Filing Limit 2026: The Complete State-By-State Deadline Guide

If you bill Molina Healthcare and you’re using one number as “the” timely filing limit, that number is probably wrong for at least one of your patients. Molina isn’t a single national insurer with one filing rule it’s a managed care organization that signs a separate contract with every state Medicaid agency it works with, […]

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