Modifiers

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

Are you ready to file your claim? Or have you forgotten an important modifier? Choosing the correct modifier can make all the difference, especially if you have performed several procedures on the same patient and within the same visit. Modifiers offer additional information to payers about a service or procedure. The best part is that

Just as authors use various circumstances and experiences to provide context in their books, modifiers do the same in medical billing. They provide additional information about procedures or services performed by healthcare providers. Modifiers are concise, two-digit codes that billing specialists pair with HCPCS or CPT codes. They can be alphabetic, numeric, or a combination

Medical coding is an intricate process. While assigning the correct diagnosis and procedure codes, hundreds of codes must be reviewed and chosen from.  Besides, you cannot afford to be careless during code selection as it can result in repercussions, such as claim denials, payment delays, financial penalties, audits, and legal issues. The same is true

Working in a hospice is rather rewarding. However, healthcare practitioners need a little more than gratitude. They seek rightful payment for their services! Physicians and nurses employed at a hospice usually receive compensation from the government for providing services to terminally ill patients under their Medicare plans.  Usually, these professionals use GV and GW modifiers