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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How often do you update or review your EMS coding knowledge? Emergency Medical Services (EMS) require specific codes, especially for ambulance transportation. Unfortunately, emergency medical technicians (EMTs) make frequent coding mistakes due to various factors, including incorrect or missing documentation, time constraints, lack of coding experience, and numerous policy updates, which result in claim denials.
Common EMS HCPCS/CPT Codes in 2024 Read More »
Double the work and half the reimbursement? Are you missing out on your deserved dollars just because of modifier 78? Don’t let the injustice continue. Find out all you need to know about this modifier, including its purpose, use cases, documentation requirements, dos and don’ts, and distinguishing features. What is Modifier 78? Modifier 78 is
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Did you know that every 40 seconds, someone in the USA experiences a stroke? That’s around 800,000 people in a year! Strokes or brain attacks are one of the most common medical conditions in the country. Those who survive may be left with permanent brain damage, affecting their performance at work and conduct in social
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There are two aspects of remote patient monitoring. First, it helps providers take a preventive approach rather than reactive with early detection of potential health issues. Second, when applied and billed accurately, it acts as an added revenue stream, enabling practices to experience greater financial success. However, like any other program, providers must understand it
Common RPM CPT Codes 2024 Read More »
Are you a healthcare provider in the process of navigating the intricacies of medical coding? By now, you may know how to choose the most accurate code, how to report timed codes, and when to use an add-on. You may have also figured out the numerous limitations and requirements surrounding each code. REMARKABLE! However, even
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Medical coding is complex. There are hundreds of diagnosis and procedural codes. Some have session time limits. Others don’t. Many can be billed concurrently, while several have add-ons. All these tiny details play a crucial role in code selection to ensure each aligns with the rendered care service perfectly for accurate reimbursements. This guide is
Ultimate Guide to CPT Code 97763 Read More »
Are you an applied behavior analysis (ABA) therapist stuck between clinical responsibilities and time-consuming administrative tasks, including medical coding? We understand CPT codes can be confusing! It is surrounded by many questions – from whether it is a timed code or not, to if you can bill one code with another, and so on. Thus,
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