Clinical Practice Resources

Advanced Beneficiary Notices (ABN or Insurance Waivers) and Insurance Opt Out
Patient payments and insurance considerations in headache care involve ABNs, opt-out protocols, fair charge rates, same-day discounts, and support for appeals and out-of-network scenarios.

How Do I Bill for Prolonged Record Review?
Billing for prolonged non-face-to-face medical record review in headache care using CPT 99358/99359 with proper documentation of time, activities, and dates for accurate reimbursement.

Practice Management Basics
Support for students with migraine includes action plans, school accommodations, and 504 Plans to ensure safe care, reduce stigma, and help children manage headaches while staying engaged in school.

How Do I Bill for a SQ/IM Injection
CPT 99358 allows billing for extended medical record review outside visits, requiring 30+ minutes of physician time, proper documentation, and adherence to payer guidelines.

What is an RVU?
RVUs reflect physician effort, practice costs, and malpractice risk, guiding payments and productivity. wRVUs determine compensation, with geographic adjustments and modifiers affecting reimbursement. Tracking RVUs helps monitor efficiency, coding, and practice finances.