Modifier 55: Description, Examples, and Usage Guidelines
How will you bill a claim when a surgeon performs a procedure but hands over follow-up care to another physician? […]
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Fred Allen
Understanding Healthcare Claims Data Analytics
In this Age of Information, data is power. It is a strategic asset that entities and individuals use to gain
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Prior Authorization Challenges in Ophthalmology Practices
In the United States, every 2 out of 3 adults have eye or vision problems. Still, a majority of them
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Prior Authorization Challenges in Dermatology Practices
Did you know that dermatologists earn an average of $240,000 to $500,000 annually? Sounds like a lot of money, doesn’t
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Modifier 63: Description, Examples, and Usage Guidelines
Did you know that, according to UNICEF data, approximately 3,657,476 babies are born in the U.S. each year? These newborns
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Understanding the Medical Billing Revenue Cycle
The financial management of a healthcare practice or medical facility involves a deep understanding of the revenue cycle. The entire
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Modifier 54: Description, Examples, and Usage Guidelines
Modifiers play a vital role in medical billing. These are two-digit codes used to explain the services provided by the
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What is HCC (Risk Adjustment) Coding?
Did you know that hierarchical condition category (HCC) coding relies on ICD-10-CM codes to assign risk scores to patients? But
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Best Practices to Reduce Claim Denials in Healthcare
Did you know that on average, 41% of healthcare providers face claim denial rates of at least 10%? Even though
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How to Switch to a New Medical Billing Company?
The history of the medical billing industry dates back to the 1970s and 80s, when independent companies emerged across the
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