Modifiers

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

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

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

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

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

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

Clean claim submission is the ultimate trick to ensure rightful and timely reimbursements from insurance payers. However, healthcare is often tailored to the unique requirements of each patient. As a result, CPT codes sometimes fail to provide the specificity needed for accurate reimbursements. That’s where modifiers come in. They supply additional information to explain the