Modifiers

Medical coding seems like an unending maze, and the use of modifiers further adds to the challenges of ensuring coding accuracy and specificity. But, believe it or not, modifiers are there to help you get your rightful reimbursements. Since care is often tailored to individual patient needs, sometimes, the complexity of the services can be […]

We understand the frustration when you are all prepped and ready to cure, but due to unforeseen circumstances, you are forced to abort the procedure. But do you know what is more frustrating than that? When insurance payers refuse to reimburse you for all the preliminary work you did for the surgery. In a split

Modifiers can be confusing, especially when it comes to determining which one to append, what conditions must be met for their proper application, and when to avoid using one altogether. Yes, modifier usage is not mandatory. You may encounter situations where modifiers are unnecessary. And this is the big mistake most individuals make. In pursuit

Can you bill an unrelated procedure during the postoperative care of a patient? You can, with the right modifier! Global period is one of the most confusing concepts in medical billing. Therefore, we understand your hesitation. Since it bundles postoperative care with the initial surgery, healthcare providers find it challenging to bill for additional procedures.

Modifiers help you provide additional details while billing for your service. Coding specificity ensures you receive rightful reimbursements every time. Some modifiers help you alert the payer that a procedure took more time, effort, and resources than a typical procedure. Thus, it is eligible for higher reimbursement. Others enable you to provide additional information about

Medical coding is an intricate process that demands specificity to ensure you receive rightful reimbursements against your rendered services. That’s why there are hundreds of CPT codes, and some descriptors have minor differences. Even then, there are modifiers to help you achieve coding accuracy and avoid overcoding and undercoding issues because care services are often

With so many patients to encounter, handling claims in-house often becomes a headache. You must pay attention to details while creating and submitting a medical claim and ensure timely and accurate reimbursements. Even a small mistake in code selection, documentation, or provider detail may lead to payment delays and denials, impacting your facility’s financial health.

Left side, right side. One side, two sides. One claim line, separate claim line. Gosh! If your medical coding and billing woes for bilateral surgical procedures are never-ending, then it is time to quit stressing and start grasping. That’s right! We are here to tell you all about the bilateral modifier 50. Report 1 unit

The concept of modifiers is hard to gauge, and errors can occur when the descriptions of modifiers are similar with minute differences. However, in the healthcare industry, mistakes in claims can have severe repercussions on your finances and practice reputation.  This guide will help you understand modifier 77 in detail, from practical scenarios where you

Do you think you understand everything about modifier 25? Think again! It is one of the few modifiers that are often under scrutiny due to frequent misuse. As we all know, incorrect use of billing modifiers can result in billing audits and hefty fines. But did you know that Medicare audit penalties can reach as