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AMS Solutions Medical billing & RCM for healthcare. AAPC-certified, HIPAA-compliant team since 1992. Dallas-based.

Are your nail debridement claims denying even when the visit was real? Medicare wants the covered condition or class fin...
10/16/2026

Are your nail debridement claims denying even when the visit was real? Medicare wants the covered condition or class findings in the note, not just the procedure. Our podiatry billing guide walks through the codes and modifiers. Take a look.

Podiatry billing services guide: routine foot care rules, 11720 vs 11721, Q7, Q8 and Q9 class findings, toe modifiers and the documentation that gets paid.

Thinking about outsourcing your billing for 2027? It works when the problem is the claim, not the front desk. Our explai...
10/15/2026

Thinking about outsourcing your billing for 2027? It works when the problem is the claim, not the front desk. Our explainer covers what is included, how percentage-of-collections pricing works and when to stay in-house. Have a look.

Medical billing outsourcing explained: what a billing company does, how a percentage-of-collections fee works, and when outsourcing is the wrong call.

Is the hospital billing the technical component while your radiologists bill globally? That duplicate is a common radiol...
10/14/2026

Is the hospital billing the technical component while your radiologists bill globally? That duplicate is a common radiology denial. Our guide explains modifiers 26 and TC by setting. Worth a read for your billing team.

What radiology billing services must get right: modifiers 26 and TC, the MPFS PC/TC indicator, who bills what by setting, and the anti-markup rule.

Are your 60-minute therapy sessions coming back paid as 90834? 90837 needs 53 or more documented minutes of psychotherap...
10/13/2026

Are your 60-minute therapy sessions coming back paid as 90834? 90837 needs 53 or more documented minutes of psychotherapy. Our guide covers the time rules and the documentation that holds up on review. Take a look.

The 90837 CPT code vs. 90834 and 90832: the minute thresholds, why 60-minute psychotherapy claims get downcoded, and the documentation that holds up.

Will your front desk know which Medicare patients switched plans on 1 January? Open Enrollment runs 15 October to 7 Dece...
10/12/2026

Will your front desk know which Medicare patients switched plans on 1 January? Open Enrollment runs 15 October to 7 December, and the changes start in January. Our nine-step re-verification checklist can help. Share it with your team.

Medicare Advantage eligibility verification for January: what the 15 Oct to 7 Dec enrollment window changes and what your front desk must re-check.

Is your sleep program ready for 1 January? Home sleep test codes 95800, 95801 and 95806 are being replaced by six new co...
10/09/2026

Is your sleep program ready for 1 January? Home sleep test codes 95800, 95801 and 95806 are being replaced by six new codes, split technical and professional. Our checklist covers what to update now. Worth a look before your January code updates.

Home sleep test CPT codes 95800, 95801 and 95806 end 31 Dec 2026. What replaces them, NCD 240.4 CPAP rules and a readiness checklist before January.

Does your billing contract say which collections the fee is based on? Gross vs. net, patient payments and old A/R can ea...
10/08/2026

Does your billing contract say which collections the fee is based on? Gross vs. net, patient payments and old A/R can each change what you pay. Our nine-term checklist shows what to ask for before you sign. Take a look.

A medical billing contract has nine terms that decide what you pay: fee basis, exclusions, tail claims, data return and the BAA. Negotiate them first.

Are your EKG lines being written off instead of worked? When 93000 denies beside an office visit, the note is often coun...
10/07/2026

Are your EKG lines being written off instead of worked? When 93000 denies beside an office visit, the note is often counting the EKG twice. Our post explains the fix and what the proposed 2027 rule would and would not touch. Have a read.

The 93000 CPT code vs. 93005 and 93010, why an EKG with a same-day E/M denies, and what the proposed 2027 same-day E/M reduction would and would not touch.

Did a patient get a surprise bill after a screening colonoscopy turned diagnostic? The cause is often a missing modifier...
10/06/2026

Did a patient get a surprise bill after a screening colonoscopy turned diagnostic? The cause is often a missing modifier: PT for Medicare, 33 for many commercial plans. Our 45378 vs. 45380 guide walks through it. Worth sharing with your coders.

CPT 45378 vs. 45380: when a screening colonoscopy becomes diagnostic, which Medicare G-code or modifier 33 or PT applies, and the 2027 coinsurance change.

Do your infusion notes record start and stop times? Without them, 96415 and billable hydration are hard to support. Our ...
10/05/2026

Do your infusion notes record start and stop times? Without them, 96415 and billable hydration are hard to support. Our oncology billing primer covers administration codes, J-code units and the JW and JZ modifiers. Take a look.

What oncology billing services must get right: chemo administration codes, J-code units and NDCs, the CMS JW/JZ wastage rule, and ASP-based buy-and-bill.

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3419 Westminster Avenue, Suite 1062
Dallas, TX
75205

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+12145220210

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