Manoj B - expEDIum Solutions Blog

CPT, HCPCS & ICD-10 Explained: Key Differences Every Healthcare Provider Should Know

By Manoj B August 3, 2026

If your practice has ever had a clean claim bounce back with a denial code you didn't expect, there's a good chance the root cause wasn't a clinical mistake at all. It was a coding mismatch. Someone billed the right…

Cardiology Billing: CPT Codes, Modifiers, and Top Denial Reasons

By Manoj B August 3, 2026

If your cardiology practice has watched clean claim rates slip this year, you are not imagining it. Cardiology billing has always been complicated, but 2026 raised the bar. The AMA retired an entire block of revascularization codes and deleted several…

The Medical Billing Glossary Every Practice Needs in 2026: 50+ Terms Explained

By Manoj B July 22, 2026

Every claim denial your front desk team stares at in confusion usually comes down to one thing: nobody actually taught them the language. A biller says, "the ERA doesn't match the EOB" and a new hire nods along, too embarrassed…

Anesthesia Billing 101: Base Units, Time Units, and Modifiers Explained

By Manoj B July 22, 2026

Every anesthesia claim that comes back underpaid usually traces to the same root problem: someone on the billing team treated anesthesia like any other specialty. It isn't. A single missed time entry, a mismatched modifier, or an incorrect base unit…

Automated Appointment Reminders: How They Cut No Shows and Pay for Themselves

By Manoj B July 15, 2026

It is 9am on a Tuesday and the third exam room down the hall is empty again. The patient scheduled for a follow up simply never showed, no call, no cancellation, nothing. The medical assistant reshuffles the morning, the physician…

Two-Way Patient Texting Compliance: Do’s and Don’ts Guide

By Manoj B July 15, 2026

Your front desk sends a routine appointment reminder, and three weeks later your practice is named in a text messaging lawsuit. It sounds dramatic, but it happens more often than most medical offices realize. Two-way patient texting has become one…

Ground Ambulance Billing and the No Surprises Act Explained

By Manoj B July 3, 2026

Imagine calling 911 for a loved one with chest pain. The ambulance arrives, takes them to the hospital, and a few weeks later a bill for several hundred dollars shows up, money insurance never covered. There was no chance to…

NEMSIS 3.5 and Ambulance Billing in 2026: What to Know

By Manoj B July 3, 2026

Picture this: your EMS agency submits a clean run sheet, the crew did everything right, the patient genuinely needed the transport, and the claim still comes back denied. For a lot of billing teams, this isn't rare anymore, it's a…

Coordination of Benefits in Medical Billing: The Complete Guide for Billing Professionals

By Manoj B June 22, 2026

You submitted the claim on time. The documentation was clean. The codes were correct. And yet, the denial came back anyway CO-22, coordination of benefits issue. If you work in medical billing, this scenario is probably all too familiar. COB-related…

Payer Enrollment for Medical Billers: A Practical Step-by-Step Guide

By Manoj B June 22, 2026

You have your EHR configured, your coding workflow set, and your billing team ready to submit claims. But one thing is quietly holding everything back: payer enrollment. For many medical practices, payer enrollment is treated as a checkbox task rather…