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Friday June 8, 2012
How do modifiers increase your AR by more than 60 days?
Incorrect modifiers lead to...

  • Denials, payer audits, investigations, refunds and fines
  • Loss of revenue to the healthcare organization
  • Delay in Account Receivable (AR) Collection days, pushing them up by 47- 60+ days
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  Industry Standards:

High-performing groups-
7 - 10% of their Total A/R collected in 120+ days
Other groups-
about 19 - 35% of their Total A/R collected in 120+ days
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Track your modifier with MBC …

Steps applied by MBC Pertaining to modifiers application in the RCM process
List common procedures Medicare & other major private insurance payer do not reimburse.
Quick reference & analysis Collate payers’ write-off codes into the management system
Monthly reports Denied/reduced claims due to a missing /incorrect modifier
Modifiers information Included in payer contract with clear definitions in contracts
Track changes How payers handle and reimburse modifiers
Contract management software Keeps a tab on payments & compares to contract- allowable
MBC’s expert Research & Billing team will keep track of the appropriate modifiers to be applied providing updates about new rules, changes for each specialty. Medicalbillersandcoders.com has been assisting in revenue maximization to healthcare organizations by billing and coding for:
  • Over a decade now for physicians across the 50 US States and across varied specialties
  • Our team is constantly training and updating themselves about industry requisites
  • MBC also provides consultancy right from the best EHR– to data analytics
MBC’s Customized Reporting + Dedicated Account Manager
Achieve the revenue your practice deserves!
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