Modifiers can be confusing, especially when it comes to determining which one to append, what conditions must be met for their proper application, and when to avoid using one altogether. Yes, modifier usage is not mandatory. You may encounter situations where modifiers are unnecessary. And this is the big mistake most individuals make. In pursuit […]
Modifier 76 Description, Examples, and Usage Guidelines Read More »
The demand for neurosurgeons is surging in the USA as the population ages and risks developing chronic subdural hemorrhage (SDH). Researchers at the NYU Langone Medical Center anticipate that by 2030, 60,000 Americans over the age of 65 will develop chronic SDHs, leading to a shortage of neurosurgeons across the country. Currently, there is one
Common Neurosurgery CPT Codes 2025 Read More »
Are you one of the thousands of home health agencies striving to get the claims approved? The delay and denials may be the result of coding errors that occurred while reporting CPT and HCPCS codes for home health services. In this comprehensive blog, we will uncover the most frequently provided home health products and services
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Can you bill an unrelated procedure during the postoperative care of a patient? You can, with the right modifier! Global period is one of the most confusing concepts in medical billing. Therefore, we understand your hesitation. Since it bundles postoperative care with the initial surgery, healthcare providers find it challenging to bill for additional procedures.
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Modifiers help you provide additional details while billing for your service. Coding specificity ensures you receive rightful reimbursements every time. Some modifiers help you alert the payer that a procedure took more time, effort, and resources than a typical procedure. Thus, it is eligible for higher reimbursement. Others enable you to provide additional information about
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Medical coding is an intricate process that demands specificity to ensure you receive rightful reimbursements against your rendered services. That’s why there are hundreds of CPT codes, and some descriptors have minor differences. Even then, there are modifiers to help you achieve coding accuracy and avoid overcoding and undercoding issues because care services are often
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Did you skip an important billing step—insurance coverage verification? If you did, you might encounter a CO 96 denial code. Claim denials are frustrating and harmful to the practice’s revenue. Denial code 96 is unique because it is not just a billing oversight but a potential patient conflict and a threat to your reputation. It
CO 96 Denial Code Description, Reasons & Resolution Guide Read More »
With so many patients to encounter, handling claims in-house often becomes a headache. You must pay attention to details while creating and submitting a medical claim and ensure timely and accurate reimbursements. Even a small mistake in code selection, documentation, or provider detail may lead to payment delays and denials, impacting your facility’s financial health.
B7 Denial Code Description, Reasons & Resolution Guide Read More »
It all begins with a simple coding error, and your hard work becomes meaningless. While Remote Patient Monitoring (RPM) does not have a large code set like others, some of its codes are add-ons. You know what that means? They cannot be billed separately! Don’t know how to bill add-on codes correctly? Let us help
Ultimate Guide to CPT Code 99458 Read More »
Left side, right side. One side, two sides. One claim line, separate claim line. Gosh! If your medical coding and billing woes for bilateral surgical procedures are never-ending, then it is time to quit stressing and start grasping. That’s right! We are here to tell you all about the bilateral modifier 50. Report 1 unit
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