Modifiers

Modifiers are an integral tool that help ensure coding accuracy and specificity. However, sometimes understanding the discrete nuances of each modifier, such as what they entail, when to apply one, and when to avoid them, can be too much to understand.  Thus, the billing specialists at MediBillMD decided to start a library where you can […]

Medical billing requires precision and accuracy. To ensure this precision, insurance payers like Medicare ask billers to append the appropriate modifiers to the appropriate procedural code on the same claim line. One frequently used modifier in podiatry practices is the modifier Q9. Despite its frequent use, many billers face denials. The reason? Ignoring payer guidelines!

Is Medicare denying your claims for all routine foot care services? Modifier Q8 can help you avoid this problem in certain situations! One common fact about Medicare is that it excludes routine services from its coverage. Hence, countless practices regularly lose a lot of money. How many times have you experienced the same thing as

If you have ever had a discussion with medical billers, you will know that most of them agree on one thing: that billing of laboratory tests is one of the most complex. Why? Because laboratory testing is needed in almost all medical specialties. Hence, a large pool of CPT codes, ICD-10 codes, and modifiers must

Receiving denials for incorrectly using modifier 90? You are not the only one! Many healthcare providers experience this problem when they submit claims for services referred to an outside laboratory. The reason? Ignoring payer guidelines! As a result, their administrative staff face extra pressure and have to spend extra time correcting errors and chasing denials.

Healthcare is a heavily regulated industry, and if you are a Medicare-approved provider, you must be familiar with the repercussions of incorrect billing. Filing Medicare claims is hard enough, but what if you made a mistake or HAD TO render an uncovered service because the patient demanded it?  Should you accept your error or risk

Surgical procedures don’t always go as planned. How many times have you required help in the middle of an operation due to a complication? This might be routine for healthcare providers, but we know that there is one thing you all struggle with: accurately reporting the assistant surgeon’s role! Did you know that you cannot

For 72% of U.S. physicians, implementing telehealth services is the easy part. The real challenge is billing for them. Are you also looking for a way to file accurate claims for these services? We might have the perfect solution for you — Modifier 95! Introduced in 2017 by the American Medical Association (AMA), this CPT

Do you report the involvement of an assistant surgeon? If not, you could be missing out on rightful reimbursements! Many practices fail to report surgical assistance properly. The primary reason? Limited understanding of modifiers!   That’s where the ‘Assistant at Surgery’ modifiers come in, highlighting the involvement of a physician or other qualified professional in a

Federal and state health departments usually supply influenza, pneumococcal, COVID-19, and hepatitis B vaccines for free to healthcare providers to prevent the spread of contagious diseases through various programs like VFC.  According to the U.S. Centers for Disease Control and Prevention’s ‘Vaccination Trends’ for 2024-25, nearly half of the adult population in the USA is