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 info@medprecisionbilling.com.
Articles by MedPrecision Editorial Team
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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 Audit Services: 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, 855B, 855R), revalidation every 5 years, reassignment, NPI linkage, and effective/retro 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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