Gastroesophageal reflux disease (GERD) is a common condition encountered in gastroenterology (GI) practices. While diagnosing GERD may be straightforward, accurately coding diagnostic procedures like esophageal motility studies can be more complex. This guide will discuss everything you need to know about one such procedural code used to report GERD diagnosis, i.e., the CPT code 91035. […]
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The old healthcare practices were all about improving patient care. But nowadays, healthcare providers must maintain good relationships with patients while managing documentation. So, how much time do you spend on recording everything versus on your patients? It is quite challenging for many clinicians to balance both tasks. Prioritizing one over the other can lead
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The concept of modifiers presents an opportunity to bill the rendered care services more precisely and ensure accurate reimbursement. However, this added specificity comes with many challenges. Whether or not to use a modifier, when to use a modifier, and which modifier to use? All are questions that cloud the minds of healthcare providers and
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Wondering why your healthcare provider gave you a receipt instead of your insurance company? Or, as a healthcare provider, have you ever thought about creating an effective superbill? We aim to clarify this confusion! Adding the right prefix can make anything sound important (we all know about Superman). However, a superbill is more than just
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Gastroenterology’s various procedures, from simple office visits to complex endoscopic procedures, complicate its billing. Besides, a gastroenterologist has to deal with multiple anatomical locations since the gastrointestinal tract encompasses various organs, each with its own code set, complications, modifier usage, and billing requirements. Therefore, the billing specialists at MediBillMD decided to decode commonly used gastroenterology
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Are you confused between different coding options for capsule endoscopy? Let’s talk about CPT code 91110, one of the popular gastrointestinal imaging codes. As a gastroenterologist or a gastroenterology professional, you might have come across this code before and may have even used it multiple times. But do you know its specifics? CPT code 91110
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Did you know modifier XE was introduced to reduce the misuse of modifier 59? We all know medical billing isn’t as simple as listing your services to get payments. In reality, you must communicate the context in which you delivered those services to insurance companies. Modifiers help you with that! Unfortunately, some modifiers, such as
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We understand that gastroenterology billing can be overwhelming due to complex coding, varying billing requirements, and changing regulations. Thus, we decided to cover the most commonly used gastroenterology CPT codes in individual guides to ensure we cover every aspect of each procedural code. In this guide, we will discuss everything you need to know about
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Are you tired of getting the denials on your medical claims with modifier 59 that identifies that a procedure is distinct and separately payable from another procedure performed on the same day on the same patient? If yes, then it is time you conduct an internal audit, review all the denied claims with modifier 59,
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Ever wondered how to report anesthesia services when there is a physician anesthesiologist, anesthesia assistant (AA), or certified registered nurse anesthetist (CRNA) involved? Details and specificity are key to getting your claims processed, and anesthesia billing is no different. There are some specific anesthesia modifiers that you can append to indicate to the payer the
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