Medical billing requires precision and accuracy. To ensure this precision, insurance payers like Medicare ask billers to append the appropriate modifiers to the appropriate procedural code on the same claim line. One frequently used modifier in podiatry practices is the modifier Q9. Despite its frequent use, many billers face denials. The reason? Ignoring payer guidelines! […]
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One main challenge that healthcare providers face during financial management is claim denials. Frequent claim denials occur when providers are unable to identify the reasons behind them and prevent the billing errors that trigger them. Even minor coding mistakes and negligence in data entry can lead to claim denials, which significantly impact the practice’s revenue
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Looking for a comprehensive guide to bill CPT code 23472 accurately? You are at the right place! Shoulder arthroplasties are quite common. The Journal of Shoulder and Elbow Surgery has revealed that healthcare providers are going to perform up to 350,558 shoulder replacement procedures in 2025. You might also be an expert at completely replacing
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Did you know that healthcare is the top employer in El Paso’s private sector and a major employer in the public sector? In the private sector, Tenet Healthcare’s system and HCA Healthcare’s system are the two major employers, each employing 5,100 and 2,300 employees, respectively. Contrarily, in the public sector, the University Medical Center of
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In the United States, over 6.5 million people experience some type of chronic wound every year. So, you can understand that the volume of insurance claims for wound care service is also quite high. Healthcare providers cannot afford claim denials for wound care treatments because that would lead to significant financial losses. Claims with CPT
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Debridement procedures keep many billers on their toes. Healthcare providers process millions of wound care claims every year, and guess what? Hundreds of thousands of these claims get denied by insurance payers. The main reason for these denials is misconceptions about the billing codes and human errors while filing the claim. CPT code 97602 is
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Is Medicare denying your claims for all routine foot care services? Modifier Q8 can help you avoid this problem in certain situations! One common fact about Medicare is that it excludes routine services from its coverage. Hence, countless practices regularly lose a lot of money. How many times have you experienced the same thing as
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Are you sure you know everything about CPT code 95811? Many Americans, around 50 to 70 million, to be exact, suffer from sleep-related problems. A common way to diagnose most of these disorders? Polysomnography. Sleep deficiency or disorders affect nearly every organ system, contributing to a variety of health issues. So, if you are a
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Seattle’s healthcare industry is among the largest sectors in Washington, and it continues to thrive. The UW Medical Center (ranked the No. 1 hospital in the entire state) alone employs over 2,600 physicians and healthcare practitioners. Independent practices are separate from this and number in the hundreds. You can imagine the number of insurance claims
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Immunologists, have you ever taken pride in what you do? If not, you should! Because every vial that you prepare for allergen immunotherapy is a calculated step that relieves the patient from the symptoms and reduces the allergen’s impact. However, translating that into precise coding and billing requires an understanding of the specific code, varying
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