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. […]
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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
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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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The concept of modifiers is hard to gauge, and errors can occur when the descriptions of modifiers are similar with minute differences. However, in the healthcare industry, mistakes in claims can have severe repercussions on your finances and practice reputation. This guide will help you understand modifier 77 in detail, from practical scenarios where you
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Do you think you understand everything about modifier 25? Think again! It is one of the few modifiers that are often under scrutiny due to frequent misuse. As we all know, incorrect use of billing modifiers can result in billing audits and hefty fines. But did you know that Medicare audit penalties can reach as
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Remote patient monitoring (RPM) or remote physiological monitoring gained traction in 2020 with the onset of the pandemic. Medicare was the first to cover it, and soon, Medicaid followed suit. Currently, Medicaid covers RPM in 42 states across the nation. Besides, many commercial payers within their telehealth coverage policies are covering RPM. The Current Procedural
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Did you know that sometimes modifiers are the missing link to getting your claims approved? These two-character codes, usually added to procedure or service codes, provide additional context. Many people use them in their claims, but only a few truly understand them. KX is one such modifier. It allows you to extend necessary therapeutic care
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In medical billing and coding, the key that unlocks the door to rightful reimbursements on the first try is called DETAILS. However, the same details can also be the ultimate nightmare for some because it means you must comply with several coding and billing standards and industry regulations. Appropriate modifier usage is one such rule
What is the Difference Between JW and JZ Modifier? Read More »
Is CPT code 97150 as simple as it looks? Or are there any hidden details that you should be aware of? Many healthcare providers, including physical and occupational therapists, offer group therapy to people with similar conditions. In fact, it is sometimes more effective than individual counseling sessions. Unfortunately, due to unique coding requirements, many
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Medical coding is intricate, and the concept of modifiers just makes things more challenging for physicians trying to handle this process in-house without hiring certified professional coders (CPCs). Things become more complicated when you find out that even modifiers have different categories. In this guide, we will discuss a CPT modifier that you can only
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