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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Medical Billing Glossary: 60 Core Terms Explained
Plain-language definitions for 60 medical billing terms: CARC, RARC, ERA, EOB, EFT, ABN, AOB, COB, MSP, NCD, LCD, RVU, NPI — sourced from CMS, X12, and AMA.
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Denial Rate by Specialty (2026): Where the Real Numbers Sit
Initial denial rates by specialty from Change Healthcare, MGMA, and AAPC data — primary care, behavioral health, surgical, OB-GYN, radiology — and top denial.
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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.