Medical billing guides for practices and billing teams
Practical, specialty-specific billing guides for medical billing companies, physician practices, and behavioral health organizations. Each guide covers CPT code families, documentation, telehealth rules, prior authorization, and common denials.
These guides are for general operational reference only and are not legal or coding advice. Always verify each payer's policy, your provider contracts, and the current AMA CPT manual before submitting claims.
Physical Therapy Billing Guide
Outpatient PT billing across evaluation codes 97161-97164, timed treatment codes and the Medicare 8-minute rule, GP/KX/CQ and modifier 59, plan-of-care certification, diagnosis and medical necessity, NCCI edits, denial prevention, payment posting, and billing KPIs.
Read the physical therapy billing guideNeurology Billing Guide
Neurology billing across E/M and G2211, EEG (routine, long-term, technical/professional components), EMG and nerve conduction studies, botulinum toxin and drug units, infusions, lumbar puncture, neuropsychological testing, prior authorization, modifiers, and denial prevention.
Read the neurology billing guideRemote Patient Monitoring Billing Guide
RPM CPT codes 99453, 99454, 99457, 99458, and the 2026 additions 99445 and 99470: medical necessity, consent, device and data transmission requirements, time tracking, example scenarios, and the billing mistakes that cause denials.
Read the RPM billing guideSpravato Billing Guide
Esketamine (Spravato) billing for psychiatry and behavioral health: J0013, G2082/G2083, units and NDC reporting, REMS and 2-hour monitoring documentation, prior authorization, buy-and-bill vs. specialty pharmacy scenarios, and denial prevention.
Read the Spravato billing guideABA Billing Guide
Applied Behavior Analysis CPT codes, prior authorization, unit calculation, session documentation, modifiers, place of service, same-day services, clean claim checks, and denial prevention for ABA and autism service providers.
Read the ABA billing guidePsychiatry Billing Guide
Psychiatric diagnostic evaluations, E/M and medication management, psychotherapy add-on codes, telepsychiatry, Spravato/esketamine, TMS, collaborative care, documentation, and denial prevention for psychiatry practices.
Read the psychiatry billing guidePsychology Billing Guide
Psychotherapy CPT codes, psychological and neuropsychological testing, telehealth modifiers, documentation checklists, prior authorization, and common denials for psychology and behavioral health practices.
Read the psychology billing guideReady to Build Your Billing Team?
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