Verimedix Billing Solutions LLC

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Verimedix Billing Solutions LLC Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Verimedix Billing Solutions LLC, Accountant, 238 N. Massachusetts Avenue, Greensboro, NC.

Verimedix is a U.S.-based medical billing and revenue cycle management company built on a simple belief: providers should be free to focus on patients, not paperwork.

D2391 and D2392 depend on connected surfaces, and miscoding can trigger denials or refund requests.D2391 is for one post...
10/22/2026

D2391 and D2392 depend on connected surfaces, and miscoding can trigger denials or refund requests.

D2391 is for one posterior composite surface, while D2392 is for two connected surfaces in one preparation. A continuous mesial-occlusal lesion is one D2392, not two D2391s. Separate, non-contiguous restorations may be coded separately. Plans may apply an alternate benefit, paying the amalgam fee and leaving the patient responsible for the difference. Document the tooth, surfaces, date, and radiographs.

FREE dental billing audit. Call +1 (470) 887-9106 or email [email protected]

Read full guide :
https://www.verimedix.com/d2391-d2392-composite-filling-billing/

D4249 is not automatically a separate payable fee from the crown.For clinical crown lengthening involving hard tissue, v...
10/21/2026

D4249 is not automatically a separate payable fee from the crown.

For clinical crown lengthening involving hard tissue, verify the procedure note, tooth site, restorative context, timing, and member plan before reporting. Delta Dental states that when D4249 is performed the same day the crown is prepared, a separate fee may not be charged to the patient or Delta Dental. Document the hard tissue work and restorative rationale clearly to support accurate claim review.

FREE dental billing audit. Call +1 (470) 887-9106 or email [email protected]

Read full guide :
https://www.verimedix.com/crown-lengthening-code-dental/

99283 is the Level 3 ED visit, but only when low MDM supports it.Since 2023, ED levels 99281 to 99285 are selected by me...
10/20/2026

99283 is the Level 3 ED visit, but only when low MDM supports it.

Since 2023, ED levels 99281 to 99285 are selected by medical decision making alone. History, exam, and time do not determine the level. For 99283, the encounter should reflect low MDM, such as an acute uncomplicated illness or injury with limited workup and low risk treatment. MDM must meet the required level in two of three areas: problems addressed, data reviewed and analyzed, and risk of morbidity.

FREE E/M coding review. Call +1 (470) 887-9106 or email [email protected]

Read full guide :
https://www.verimedix.com/cpt-99283-er-em-levels-billing/

99214 requires moderate MDM or 30 to 39 minutes, not simply a longer note.For moderate MDM, meet two of three elements: ...
10/19/2026

99214 requires moderate MDM or 30 to 39 minutes, not simply a longer note.

For moderate MDM, meet two of three elements: problems addressed, data reviewed, and risk. Prescription drug management alone satisfies the moderate-risk element. A level 4 note should clearly support the complexity addressed, relevant data, and risk, or document total provider time on the date of service. Only one pathway is required, and 99214 carries a higher 2026 Medicare national office payment than 99213.

FREE E/M coding review. Call +1 (470) 887-9106 or email [email protected]

Read full guide :
https://www.verimedix.com/cpt-99214-requirements-vs-99213/

CPT 97140 can trigger same day edits with 97110 or chiropractic CMT, putting payment at risk.With 97110, separate timed ...
10/18/2026

CPT 97140 can trigger same day edits with 97110 or chiropractic CMT, putting payment at risk.

With 97110, separate timed intervals, minutes counted once, and documentation supporting distinct services may justify modifier 59 or XS, depending on payer rules. With CMT codes 98940 to 98942, 97140 requires a genuinely different anatomic region and modifier 59 or XS. Same region combinations deny under NCCI and are not appealable. Medicare does not pay chiropractors for 97140.

Get our FREE PT billing checklist. Email [email protected]

Read full guide :
https://www.verimedix.com/cpt-97140-manual-therapy-billing/

CPT 97110 denials often start with incorrect units under Medicare’s 8-minute rule.For 97110, 8 to 22 total timed minutes...
10/17/2026

CPT 97110 denials often start with incorrect units under Medicare’s 8-minute rule.

For 97110, 8 to 22 total timed minutes supports 1 unit, 23 to 37 supports 2, and 38 to 52 supports 3. Count timed minutes only, excluding untimed evaluations and unattended modalities. Document total treatment time, timed minutes per code, and why the exercise required therapist skill. A repeated flow sheet can trigger an audit.

Get our FREE PT billing checklist. Email [email protected]

Read full guide :
https://www.verimedix.com/cpt-97110-therapeutic-exercise-billing/

90834 covers 38 to 52 minutes. 90837 starts at 53, and that one-minute difference can affect reimbursement and trigger p...
10/16/2026

90834 covers 38 to 52 minutes. 90837 starts at 53, and that one-minute difference can affect reimbursement and trigger payer scrutiny.

A 52-minute session is still 90834, not 90837. The documented face-to-face time, not the scheduled length, determines the code. Since 90837 pays roughly $53 more than 90834 under the 2026 Medicare fee schedule, accurate time records and clear documentation matter during payer audits.

Book a FREE therapy practice audit. Call +1 (470) 887-9106 or email [email protected]

Read full guide :
https://www.verimedix.com/cpt-90837-vs-90834-psychotherapy-billing/

CPT 20610 billing errors can turn routine joint injections into avoidable denials.Use 20610 for aspiration or injection ...
10/14/2026

CPT 20610 billing errors can turn routine joint injections into avoidable denials.

Use 20610 for aspiration or injection of a major joint without imaging guidance. Report one unit per joint per session, even when the clinician both aspirates and injects. The medication is billed separately with the appropriate J-code and units. For bilateral claims, Medicare requires one line with modifier 50 and one unit, while many commercial and Medicaid plans require RT and LT lines.

Book a FREE coding accuracy review. Call +1 (470) 887-9106

Read full guide :
https://www.verimedix.com/cpt-20610-joint-injection-billing/

A medical biller can cost $75,000 to $110,000+ annually before turnover enters the picture.That fully loaded in-house co...
10/13/2026

A medical biller can cost $75,000 to $110,000+ annually before turnover enters the picture.

That fully loaded in-house cost includes salary, benefits, payroll tax, software, training, coverage, and supervision time. Traditional outsourced RCM typically runs 4% to 7% of collections, while a dedicated white-label specialist starts around $1,000 to $1,500+ monthly. Replacement can add $4,000 to $8,000, plus 2 to 3 months of reduced productivity during ramp-up.

Compare hiring vs a white-label team. FREE consult at +1 (470) 887-9106

Read full guide :
https://www.verimedix.com/cost-to-hire-medical-biller-2026/

CO-97 denials often signal that a service was bundled under an NCCI edit or the global surgical package.Start by reading...
10/12/2026

CO-97 denials often signal that a service was bundled under an NCCI edit or the global surgical package.

Start by reading the full remit line, including CARC 97 and the RARC. N19 or M15 points to NCCI-style bundling, while M144 points to global-package bundling. Then check the procedure pair in the current quarter’s CMS NCCI files. Indicator 1 may support modifier 59 or an X modifier when documentation proves distinctness. Indicator 0 means the bundling is correct and should be written off.

FREE denial audit, find your leak in 30 minutes. Call +1 (470) 887-9106

Read full guide :
https://www.verimedix.com/co-97-denial-code-bundled-service/

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238 N. Massachusetts Avenue
Greensboro, NC
33801

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Wednesday 9am - 6am
Thursday 9am - 6am
Friday 9am - 6am
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