2026

What Is CPT Code 99396? CPT code 99396 is a preventive medicine evaluation and management (E/M) code used for routine physical exams in established patients aged 40 to 64 years. It is part of the CPT coding system maintained by the American Medical Association (AMA). In simple terms, CPT 99396 is used when a doctor

What Are OT Evaluation CPT Codes (97165, 97166, 97167) and How Do They Work? Occupational therapy (OT) evaluation CPT codes—97165, 97166, and 97167—are used to classify the complexity of an OT evaluation for billing and documentation purposes. These codes help insurers determine reimbursement based on the level of clinical decision-making and patient needs. If you’re

What Are CPT Codes G0151, G0152, and G0157 in Home Health Physical Therapy? If you’re trying to understand codes like G0151, G0152, or G0157, you’re looking at how physical and occupational therapy services are billed in home health care. These are not traditional CPT codes—they are HCPCS Level II codes used mainly by Medicare to

What Is the Difference Between Copay vs Deductible vs Coinsurance? Understanding copay, deductible, and coinsurance is essential because these three terms determine how much you actually pay for healthcare—even if you have insurance. In simple terms: Copay = fixed amount you pay per visit Deductible = the amount you pay before insurance starts sharing costs

What Is Timely Filing in Medical Billing? Timely filing in medical billing refers to the maximum time limit a healthcare provider has to submit a medical claim to an insurance company for reimbursement. If a claim is not submitted within this deadline, the insurer may deny payment completely, regardless of whether the service was valid

How Do You Write a Medical Billing Appeal Letter (Template + Example)? If your health insurance claim was denied or you received an unexpected medical bill, you can challenge it by writing a medical billing appeal letter. This letter is your formal request asking the insurer or provider to review and reconsider the decision. A