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Author name: Addison Barnes

Common Rheumatology ICD 10 Codes & Billing Guidelines

Are you familiar with the specific diagnostic codes for rheumatology? The billing process for rheumatology is as complex as rheumatology conditions. Insurance companies require you to be always ahead of two things, frequent regulatory changes and documentation requirements, to collect complete payments. The most difficult part? Accurate coding! Rheumatologists diagnose and treat various conditions, each […]

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doctors looking for medical billers

An Ultimate Guide for U.S. Doctors Looking for Medical Billers

Feeling worn out by recurring claim denials? You are not alone! It is quite normal to feel overburdened and stressed due to mounting administrative tasks. But don’t let this stress get in the way of your work! Unfortunately, financial, administrative, and systematic issues, like increasing costs and staffing shortages, have made healthcare delivery increasingly difficult

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most common fqhc hcps codes

Common HCPCS Codes for FQHC & Billing Guidelines

Federally qualified health centers (FQHCs) act as a safety net for underserved areas or populations. These healthcare facilities are mostly funded. Federal insurance plans such as Medicare and Medicaid cover the medical and mental health services provided at these health centers. Moreover, some third parties, like Preferred Provider Organizations (PPOs), Health Maintenance Organizations (HMOs), and

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common plastic surgery cpt codes

Common Plastic & Reconstructive Surgery CPT Codes 2025

Plastic and reconstructive surgery medical billing is more complex than other specialties. Most of the time, cosmetic procedures are non-reimbursable by insurance companies (Medicare, Medicaid, and other private payers). This issue mostly arises due to insufficient supporting documentation justifying the medical necessity and appropriateness of the performed surgical procedure.  If you are tired of the

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what is modifier 76

Modifier 76 Description, Examples, and Usage Guidelines

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

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what is modifier 79

Modifier 79 Description, Examples, and Usage Guidelines

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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modifier 26 description

Modifier 26 Description, Examples, and Usage Guidelines

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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