How a Multi-Specialty Clinic Prepped for CPT 2025 and Reduced Denials

CPT 2025 updates are causing confusion, leading to coding errors, claim delays, and higher denial rates—one Illinois clinic faced a 17% denial rate and 40+ day payments before preparing.
Practolytics conducted a full coding audit, finding: outdated codes (38%), missing documentation (27%), and payer-rule mismatches (21%).
The clinic implemented a CPT 2025 Readiness Program with staff training, updated EHR templates, and real-time expert support.
AI-powered claim scrubbing was added to catch outdated codes, missing modifiers, and payer-rule errors before submission.
Results within four months: denials dropped to 5.8%, first-pass acceptance increased to 97%, and payment time improved to 26 days.
Major CPT 2025 changes include telehealth revisions, AI/digital health codes, stricter visit rules, and tighter payer scrutiny.
Key takeaway: preparing early with training, audits, and automation prevents denials and protects revenue.

Download the FREE success story

CPT 2025 updates are causing confusion, leading to coding errors, claim delays, and higher denial rates—one Illinois clinic faced a 17% denial rate and 40+ day payments before preparing.
Practolytics conducted a full coding audit, finding: outdated codes (38%), missing documentation (27%), and payer-rule mismatches (21%).
The clinic implemented a CPT 2025 Readiness Program with staff training, updated EHR templates, and real-time expert support.
AI-powered claim scrubbing was added to catch outdated codes, missing modifiers, and payer-rule errors before submission.
Results within four months: denials dropped to 5.8%, first-pass acceptance increased to 97%, and payment time improved to 26 days.
Major CPT 2025 changes include telehealth revisions, AI/digital health codes, stricter visit rules, and tighter payer scrutiny.
Key takeaway: preparing early with training, audits, and automation prevents denials and protects revenue.