Category: Blog

POS 22 in medical billing infographic showing on-campus outpatient hospital billing, facility rate reimbursement, and compliance impact

By Claim Max RCM April 8, 2026 Comments (0)

POS 22 in Medical Billing: The 2026 Complete Guide for Healthcare Providers

Table of Contents POS 22 in medical billing is the official CMS designation for On Campus-Outpatient Hospital. It identifies that a patient received care within the hospital’s main campus in an outpatient department without being formally

Occupational therapy CPT codes billing concept showing common codes and claim accuracy importance

By Claim Max RCM April 7, 2026 Comments (0)

Occupational Therapy CPT Codes 2026: Complete Billing Guide, Reimbursement Rates and Denial Prevention

Written by the Claimmax RCM Billing Specialists Team. Reviewed by a Certified Professional Coder (CPC). Last Updated: [April 2026]. Occupational therapy CPT codes are five-digit numeric codes used by occupational therapists and billing specialists to report

Entity code errors in medical billing causing claim denials, documentation issues, and lost healthcare revenue

By Claim Max RCM April 6, 2026 Comments (0)

What Is an Entity Code in Medical Billing? Types, Errors and Fixes

You submitted a clean claim. Everything looked right: the diagnosis codes, the procedure codes, the patient information. Then it came back rejected with a message that said “this code requires use of an entity code.” No

93306 CPT code billing errors leading to claim denials, audit risks, and revenue loss in echocardiogram services with compliance solutions for 2026

By Claim Max RCM April 3, 2026 Comments (0)

CPT Code 93306: Payer-Specific Compliance, Audit Defense and Denial Recovery Playbook [2026]

The average cardiology practice bills CPT code 93306 between 40 and 80 times per week. At roughly $220 per claim, that’s $450,000 to $900,000 in annual echocardiogram revenue from a single CPT code. Yet CMS Recovery

90834 CPT code billing errors causing claim denials due to incorrect coding, modifiers, and documentation issues

By Claim Max RCM April 1, 2026 Comments (0)

90834 CPT Code: Credential-Based Rates, Payer Rules, and Revenue Optimization for Therapy Practices [2026]

CPT Code: 90834 Description: Psychotherapy, 45 minutes with patient Time Range: 38 to 52 minutes face-to-face Setting: Outpatient (office, clinic, or telehealth) Telehealth Modifier: 95 (synchronous audio-video) 2026 Medicare Rate (Non-Facility): ~$113.90 (national average) Credential-Based Rate

CMS-1500 form common errors in medical billing including incorrect patient data, invalid ICD-10 codes, and claim denial issues

By Claim Max RCM March 30, 2026 Comments (0)

12 Common Mistakes in Filling CMS 1500 Form and How to Fix Them

The most common mistakes in filling CMS 1500 form aren’t dramatic coding failures. They’re small, preventable errors: wrong patient demographics in Boxes 1 through 13, invalid ICD-10 or CPT codes, missing diagnosis pointers in Box 24E,

pos 11 in medical billing errors reimbursement loss office vs facility coding audit risk 2026

By Claim Max RCM March 27, 2026 Comments (0)

POS 11 in Medical Billing: What It Means, When to Use It & How It Impacts Your Revenue in 2026

POS 11: Quick Reference Field Detail Code 11 CMS Name Office Full Name Place of Service 11 Setting Physician’s private practice, group practice, or standalone clinic Type Outpatient only (never inpatient) Payment Rate Non-facility (typically 10%

CPT code 97162 billing guide showing documentation requirements, modifiers, and compliance for physical therapy evaluation

By Claim Max RCM March 26, 2026 Comments (0)

CPT Code 97162: Documentation, Billing & Compliance Guide for Healthcare Providers [2026]

CPT code 97162 is the AMA-designated billing code for a moderate-complexity physical therapy evaluation, requiring documented assessment of three or more body systems, one to two comorbidities affecting the plan of care, and moderate-level clinical decision-making

Top 10 clearinghouses in medical billing 2026 showing pricing, pros, cons, and EHR compatibility for healthcare providers

By Claim Max RCM March 23, 2026 Comments (0)

Top 10 Clearinghouses in Medical Billing (2026): Pricing, Pros & Cons Compared

According to the CAQH 2025 Index report, the healthcare industry saved $258 billion in 2024 through electronic transactions. That number shows how critical HIPAA-compliant healthcare clearinghouses are to the revenue cycle. But one disruption that same

By Claim Max RCM March 17, 2026 Comments (0)

Revenue Cycle Management Services in California [2026 Guide]

Key Takeaways Revenue cycle management services in California cover every financial step of a healthcare encounter: patient registration, eligibility verification, coding, claims submission, denial management, and final payment collection. In 2026, California providers face critical regulatory

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