Office Hour June 1, 2026: Billing G2211 Code Strategy

Key Takeaways
G2211 Billing Strategy: A trial is needed to identify payers for the G2211 code, as it's being rejected when billed with therapy codes (e.g., 90833). The goal is to capture the ~$23/claim revenue without disrupting the clean claims rate.

Billing System Overhaul: The practice is consolidating to CHARM+Optum to fix chronic data inaccuracies (AR, missed claims). A custom dashboard is being built to provide the detailed, claim-level tracking the billing team needs.

Staffing Crisis Managed: Two MAs quit unexpectedly, but the cohesive team adapted. The hiring process is now highly selective, using AI screening and consultant EQ checks to protect the strong culture.

Progress Validation: A Q1 2026 AR report will be generated to provide objective data showing the team's significant progress, counteracting the demoralization from reviewing unrecoverable 2025 claims.