Revenue cycle · CMMG Endocrinology

Billing & revenue tools

Endocrine-tailored coding suggestions, CCM and RPM documentation, eligibility checks, and live claim status with denial risk scoring.

Outstanding A/R

$332k

412 open claims · avg age 38d

Clean claim rate

94%

Target ≥ 96% · 38 denials open

Denial rate

5.8%

Top driver: missing modifier 25

CCM/RPM captured

$18.4k

63 of 91 enrolled patients billed

Marisol Vega

T2DM follow-up · A1c review

94% match

ICD-10

E11.65T2DM with hyperglycemia
E78.5Hyperlipidemia, unspecified

CPT

99214Est. patient, moderate MDM
83036Hemoglobin A1c

Steroid-induced hyperglycemia documented — supports E11.65 over E11.9.

Dwayne Okafor

CGM download + titration

91% match

ICD-10

E10.65T1DM with hyperglycemia
Z79.4Long-term insulin use

CPT

95251CGM interpretation, 72+ hrs
99215Est. patient, high MDM

95251 billable once per month; last billed 34 days ago.

Sam Whitfield

Pump start education

88% match

ICD-10

E10.9T1DM without complications

CPT

95990Pump refill/maintenance
98960Self-management education, 30 min

Add modifier 25 if E/M billed same day.

Grace Lindqvist

Osteoporosis · DEXA results

96% match

ICD-10

M81.0Age-related osteoporosis
E55.9Vitamin D deficiency

CPT

77080DXA, axial skeleton
99213Est. patient, low MDM

Vitamin D 19 ng/mL supports E55.9 as secondary dx.