Specialty Billing

KS vs. KX explained for glucose monitor supplies: which modifier goes on insulin vs. non-insulin claims, plus the quantity limits.

What the NU, UE and RR modifiers mean, how they map to Medicare DME payment categories, and when each one is the wrong choice.

What the KX modifier means on DME and therapy claims, when it is required, and how it relates to GA, GY and GZ.

How Medicare capped rental works, what RR, NU, UE, KH, KI, KJ and MS mean, and how to bill each rental month.

Ambulance billing has its own dense set of HCPCS codes, mileage rules, origin/destination modifiers, and medical necessity documentation. Here’s where it commonly goes wrong.

Home health billing runs on PDGM, and OASIS assessment accuracy drives payment for the entire 30-day period. Here’s where documentation commonly breaks down.

Medicare telehealth flexibilities are extended through December 2027 under the Consolidated Appropriations Act of 2026. Here’s what’s covered, what’s uncertain, and what billing teams should track.

Dermatology billing sits on a spectrum between cosmetic and medically necessary. Here’s how documentation actually distinguishes the two, and where practices get caught out.

Orthopedic billing accuracy hinges on global period rules, NCCI bundling edits, and choosing the right post-op modifier. Here’s how to get it right.

Cardiology mixes high-volume E/M visits with dense diagnostic testing codes that carry real documentation requirements. Here’s what payers check on audit and how to avoid denials.