Each year, the AMA updates the CPT® code set, and every year those changes ripple straight into your revenue cycle. For 2025, there have been 270 new codes, 112 deleted codes, and 38 revisions. The revisions are significant, including new codes for telehealth, expanded remote monitoring, surgical coding refinements, and adjustments to the Medicare Physician Fee Schedule (PFS). If your billing and coding processes aren’t updated, you risk denials, lost revenue, or compliance headaches.
The gap between service and claim submission is one of the most underestimated threats to a medical practice’s financial health. Whether you're running a high-volume urgent care or a specialty clinic with complex coding needs, delayed submissions choke your cash flow, increase your denial rates, and expose you to missed filing deadlines.
Efficient medical billing is not merely a back-office function; it is the lifeblood of small healthcare practices. It is what guarantees you get paid for what you offer. It is something that goes beyond what you learned in medical school. Yet, it remains a critical pillar upon which the financial health of your practice stands. For small practices, navigating the complexities of billing codes, compliance regulations, and insurance nuances can be daunting — a challenge that often leads to resource strain and burnout among your dedicated staff.
As a healthcare provider, you don't need to be a certified medical coder, but understanding the basic terminology of medical billing is essential for running a successful and financially healthy practice. Whether you're in private practice, part of a group, or working in a larger healthcare facility, knowing the language of billing can help you avoid costly errors, streamline communication with your billing team, and enhance revenue cycle management. In this article, we cover the top 10 medical billing terms that every provider should know.
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