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, […]
What is an XS Modifier in Medical Billing? Read More »
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
What is a QZ Modifier in Medical Billing? Read More »
Modifiers give you more control over reporting the provided services precisely. However, this additional detailing in medical coding can also be stressful since there are many modifiers with minute differences. Even if we talk about reporting the services of an assistant at surgery, there are several modifiers to choose from, such as 80, 81, 82,
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Tired of insurance companies mistaking repeated tests as duplicates? Try using modifier 91 to overcome these denials! Little considerations, like the appropriate use of modifiers, simplify the billing process. These two-digit codes provide additional context to CPT or HCPCS codes and reduce the miscommunication between healthcare providers and payers. Modifier 91 is one such important
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How accurately do you capture the severity of upper GI conditions and use the associated codes? Gastroesophageal reflux disease (GERD) is a common gastrointestinal disorder in the US, affecting around 20% of the population. Therefore, the increasing demand for gastroenterologists is understandable. But, with their busy schedules, most doctors find it difficult to manage accurate
Ultimate Guide to CPT Code 43235 Read More »
It can be overwhelming to keep track of all the medical coding billing guidelines, such as accurate diagnosis and procedural code selection, appropriate modifier usage, documentation requirements, and whatnot. If you are a healthcare facility or a physician conducting colorectal screening, you may have encountered the modifier PT. But do you know when and how
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Struggling to understand when and how to use the GA modifier correctly? Let us be your guide! It is common knowledge that modifiers are extremely useful for delivering additional information to payers. In simple terms, these two-digit codes help them determine how to reimburse a particular service or procedure. Some modifiers, including modifier GA, are
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Ultrasound is an invaluable imaging tool, providing diagnosis and treatment guidance in various medical specialties. The procedure is considered safe during pregnancy as it does not expose the body to radiation. It offers real-time imaging and dynamic views of structures or organs in motion. Besides, it is painless, and patients experience minimal discomfort. This guide
Ultimate Guide to CPT Code 76830 Read More »
Getting denials for breath testing? You might not be meeting its coding requirements. It is not easy to file multiple claims each day, especially when handling high volumes of patients and clinical emergencies. A simple coding mistake, such as an inappropriate procedure code, can trigger investigations by insurance companies. Coding requires attention, but sometimes, people
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In medical billing, revenue codes are four-digit standardized numeric codes that provide information about the services, procedures, and products rendered to a patient at a healthcare facility. These codes are added to the hospital bill—UB-04 claim form, also known as the CMS-1450 form—to provide more details about the product or procedure, such as its type
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