MedPrecision Editorial Team
Clinical Editorial Review (collective byline)
Articles under this byline are reviewed for clinical-coding accuracy by AHIMA-credentialed specialists on the MedPrecision team. This is a collective editorial label representing in-house reviewers, not a single individual. For attributable expert commentary or interview requests, contact [email protected].
Articles by MedPrecision Editorial Team
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CMS-588 EFT Authorization: The Signer Rule and Everything Else
CMS-588 authorizes Medicare EFT — it is not enrollment. The same AO/DO on your CMS-855 must sign it. When you need one, bank-document rules, PECOS vs mail.
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CMS-855B: How an Organization Enrolls in Medicare
Form CMS-855B enrolls clinics and group practices in Medicare. Who files it vs 855A/855I, why physician groups skip the $750 fee, and what MACs reject.
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CMS-855I: What the Form Itself Requires, Section by Section
CMS-855I enrolls physicians and NPPs in Medicare and now carries every reassignment. Form selector vs 855B/855O, walkthrough, MAC timeframes, fee rules.
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CMS-855R Discontinued: How Medicare Reassignment Works Now
CMS discontinued the CMS-855R on October 31, 2023. All reassignment actions now run through CMS-855I or PECOS. The post-2023 workflow, quoted from CMS.
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Medicare PTAN: What It Is, Who Issues It, and How to Find Yours
A PTAN is the Medicare-only number your MAC issues at enrollment approval. PTAN vs NPI vs MBI, recovering a lost PTAN, and the deactivation rules.
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Medicare Revalidation: The Operational Playbook CMS Doesn't Publish in One Place
Find your Medicare revalidation due date, revalidate in PECOS, avoid deactivation. The 5-year cycle, 7-month rule, and $750 CY2026 fee — all CMS-cited.
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Type 2 NPI: Which Entities Need One and How NPPES Assigns It
Sole proprietor, single-member LLC, S-corp or group — the CMS-sourced entity table, the CP-575 legal-name match, and the free NPPES application, quoted.
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Oncology Billing CPT Codes: Chemo Administration, Drugs & Modifiers
How oncology billing works: the chemo admin hierarchy (96413/96415/96417), Part B drugs at ASP+6%, and the JW/JZ modifiers that deny claims.
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Good Faith Estimate Requirements Under the No Surprises Act (2026)
Good Faith Estimates must reach uninsured/self-pay patients in 1-3 business days. Required elements, timing, the $400 PPDR threshold, and a sample GFE.
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Medical Coding Audits: A Buyer's Guide (2026)
What a coding audit is: prospective vs retrospective, random vs focused, OIG expectations, sample sizes, error-rate thresholds, and 2026 cost ranges.
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PECOS Enrollment: Step-by-Step Guide for Providers (2026)
PECOS enrollment step by step: which 855 form to file (855I or 855B — 855R discontinued), reassignment via the 855I, revalidation, and effective dates.
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Superbill Template for Therapy: Free Printable Sample (2026)
A filled, printable therapy superbill template with NPI, ICD-10, CPT 90791/90834/90837/90847, units, fees, POS — plus how a client claims reimbursement.
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Denial Rate by Specialty (2026): Where the Real Numbers Sit
Initial denial rates by specialty — primary care, behavioral health, surgical, OB-GYN, radiology, dermatology — and the top denial driver for each (MGMA/AAPC).
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Medicare Incident-To Billing Rules (2026)
Medicare incident-to requirements: direct supervision, established patient, established plan of care, and the rules in 42 CFR 410.26 — with OIG audit risks.
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G2211 Add-On Code Explained: When and How to Bill It
G2211 (visit complexity inherent to E/M) — what CMS covers, when it applies, the documentation that supports it, and the 2024 activation for primary care.
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Place of Service Codes: POS 11 vs POS 22 (and the Others That Matter)
POS 11 (office) vs POS 22 (on-campus outpatient hospital) and the reimbursement difference, plus POS 02/10 telehealth and patterns that produce POS denials.
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Modifier 25: When to Use It (and When You Can't)
AMA CPT modifier 25 rules: when an E/M is significant and separately identifiable, the OIG audit triggers, audit-proof documentation, and common procedures.
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Modifier 59 vs X-Modifiers (XE, XS, XP, XU): The 2026 Picture
How modifier 59 and the X modifiers (XE, XS, XP, XU) work, when CMS requires the X modifiers, and the NCCI edit logic that drives bundling reversals.
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EPSDT Medicaid Billing for Children: The Federal Rules
Medicaid EPSDT billing for pediatric well-child visits: federal requirements, state periodicity schedules, the EP modifier, and visit-type documentation.
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