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 […]
What is a KX Modifier? Read More »
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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New Year, New CPT! It is the motto the American Medical Association (AMA) lives by. Every year, the association revises its standardized list of CPT codes to keep up with the advancements in medical procedures, practices, and technology. These changes become effective on January 1 each year and include additions of new codes, deletions of
A Comprehensive Guide to New CPT Codes for 2024 & 2025 Read More »
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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