Category Archives: Medical billing and coding services

Identify Coding Pitfalls to Avoid Common Claim Errors

Coding errors accounted for 8.7 percent of improper payments made by Medicare in 2018, which cost over $2.75 billion. To avoid costly denials and potential payback demands, it’s essential to review code guidelines before submitting your claims. If your practice … Continue reading

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Appropriate Use of Modifiers XE, XP, XS, XU, or 59

Modifier 59 is the most widely used HCPCS modifier. This modifier is associated with considerable misuse and high levels of manual audit activity, leading to reviews, appeals, and even civil fraud and abuse cases. The introduction of four ‘X’ subset … Continue reading

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How accurate you can use Modifier 58 in Medical Billing?

The modifier 58 is defined by CPT as “staged or related procedure or service by the same physician during the post-operative period.” It may be necessary to indicate that the performance of a procedure or service during the postoperative period … Continue reading

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How Are You Handling Patient No-Show?

Patient no-show is a recurring problem for any medical practice or healthcare facility. As per the recent study, no-show rates in an outpatient setting can range between 22 percent and 35 percent, resulting in a loss of 15 percent of … Continue reading

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How to Utilize Patient Waiting Time for Better Patient Satisfaction?

Patients perceive long waiting times as a barrier to obtain medical services. Keeping patients waiting can be a cause of stress for both patient and doctor. Even though long patient wait time is not a good thing but activities like … Continue reading

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Using Modifier 59 (Distinct Procedural Service) Effectively

When used appropriately, coding modifiers help practices code appropriately and collect revenue to which they’re entitled. The key here is -when used appropriately. A modifier should never be used just to get higher reimbursement or to get paid for a … Continue reading

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10 Tips to Reduce Claim Rejections

A rejected claim contains one or more errors found before the claim was processed. Errors will prevent the insurance company from paying and the rejected claim is returned to the biller to be corrected. A rejected claim may be the … Continue reading

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