Besides being extremely challenging, ophthalmology is one of the medical specialties with the highest claim denial rates. According to a study published in Becker’s ASC Review, the claim denial rate for ophthalmology is 13%, while the average claim denial rate in the industry is 5-10%. One of the main reasons for claim denials is coding […]
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Neurology coding? It’s a beast. Even seasoned coders get tangled in the details. And if you are a neurologist trying to keep your practice afloat, you know how tough it is to juggle patient care and billing. CPT code 70551 might seem simple, but get it wrong, and reimbursements take a hit. This guide breaks
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Is the once-in-a-lifetime procedure rule for CPT code 52601 still valid? Let’s update your knowledge! Benign prostatic hyperplasia (BPH) is a common condition among aging men, affecting 5 to 6% of men between ages 40 to 64 and 29 to 33% of those older than 65. While transurethral resection of the prostate (TURP) is the
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What do you know about laterality modifiers? You cannot skip these modifiers if you have performed a procedure on one of the paired body parts, such as eyes, ears, arms, legs, and even organs. We all know that medical billing isn’t just about submitting timely claims. It is also about specifying everything. RT and LT
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Medical coding can feel overwhelming, right? Hundreds of codes, tons of modifiers, and payer guidelines that change all the time. It’s enough to make any pulmonology practice struggle to stay in the black. But if you’re looking for a reliable resource on CPT code 94010, you’ve landed in the right spot. This guide dives deep
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Medical coding can feel like an intricate maze, right? Lots of twists and turns, especially if you are not a certified professional coder (CPC). And let’s face it, for small practices, hiring an in-house coder is not always budget-friendly. So, many healthcare providers end up tackling coding and billing themselves. Thus, we have created a
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Tenosynovitis, or swelling and inflammation of the tendon sheaths, is one of the most common orthopedic conditions in the USA. Out of every 100 people, two or three experience it due to constant strain on the fingers, wrist, and forearm. Another study suggests that women are 2.6 times more likely to be diagnosed with the
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Can you confidently use the correct E/M code to report your service? Many practices lose revenue because of simple coding mistakes. The primary reason? Evaluation and management services are cognitive, involving intangible processes and different levels of decision-making. Hence, many providers either under or overbill these services. If you are in the same boat, don’t
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Have you ever billed an anesthesia service that required more effort? Most minor procedures typically need local anesthesia. However, some cases don’t go as planned and end up requiring general anesthesia services. So, how do you handle this unusual complication? The answer is obviously through a modifier. Modifier 23 is often applied in such cases.
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Looking for billing and reimbursement tips for CPT code 20610? We can help you with that! CPT code 20610 may seem like any other code, but it is quite popular in rheumatology and orthopedics. The primary reason? It represents a widely used procedure for treating joint pain, including bursitis. Did you know that over 30,000
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