Have you ever billed an anesthesia service that required more effort? Most minor procedures typically need local anesthesia. However, some cases don’t go as planned and end up requiring general anesthesia services. So, how do you handle this unusual complication? The answer is obviously through a modifier. Modifier 23 is often applied in such cases. […]
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Looking for billing and reimbursement tips for CPT code 20610? We can help you with that! CPT code 20610 may seem like any other code, but it is quite popular in rheumatology and orthopedics. The primary reason? It represents a widely used procedure for treating joint pain, including bursitis. Did you know that over 30,000
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How do you inform a payer about the patient being fully responsible for all the charges? Through the GY modifier! You can communicate any situation with a specific modifier. These codes are the key to avoiding complicated issues or conflicts. So, what exactly is the role of modifier GY? This two-character code indicates that a
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Dermatology medical billing is known for its intricacy due to various factors. First, it has a vast array of procedures, from routine skin checkups to complex cosmetic treatments to surgical procedures. Besides, coding is complex because you have to distinguish between medically necessary treatments and non-reimbursable cosmetic procedures. Even if we limit our talk to
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Another day, another anesthesia code to uncover! Anesthesia care is very common in surgical procedures, each with a specific billing code. So, if you are looking for an appropriate anesthesia code for an outpatient ophthalmic surgery, you are at the right place! Each year, more than 3 million people in the U.S. undergo cataract surgery,
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Are you tired of receiving denials on medical claims with modifier 59? If your answer is affirmative, then it is time to conduct an internal audit because you may be inappropriately appending every other claim with the modifier 59 in hopes of bypassing the bundling issues. This revelation may sound harsh, but it can be
What is Modifier XU in Medical Billing? Read More »
How do payers compensate different healthcare providers involved in the same patient’s care? They require billing entities to use modifiers! Did you know that there is always a modifier for a specific situation? For the longest time, modifier 59 was the only choice for indicating distinct services. However, it was often misapplied to bypass bundling
What is Modifier XP in Medical Billing? Read More »
Imagine receiving a recoupment request from an insurance payer in your mailbox or on your electronic health record (EHR) system, notifying you that $2,500 will be deducted from your next reimbursement. How would you feel? Shocked and appalled, right? Most probably, the first question on your mind will be, BUT WHY? We are here to
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How often do you report CPT code 77427? Radiation therapy might be the most effective cancer treatment, but billing for it is not easy, especially with Medicare reducing its reimbursements by 23% over the last decade. The treatment involves multiple components, including planning, simulation, dosimetry calculation, treatment delivery, and management, each reported by different codes.
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Some procedures are more complex than others and may require the expertise of multiple surgeons. Modifiers help identify such procedures on the medical claim. However, there is not one modifier that fits all surgeon-related situations. As a result, while billing for surgical procedures with several surgeons, many may keep scratching their heads as to which
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