Get positive ROI on every patient through outsourced optometry billing services!

Every moment when you think that your optometry billing and coding prerequisites are under control, new reimbursement and claims submission guidelines, coding alerts, or dedicated staffing roadblocks occur. When you as a practitioner are continuously managing claim denials and rejections, along with eligibility and benefits verifications, plus the claims submission and payment posting, looking into […]

How to use Modifier 25 Accurately for Medicare

Modifier 25 is used when a minor procedure (one with a 0- or 10-day global period) and a significant and separately identifiable evaluation and management (E/M) service are performed during the same session or day. Modifier 25 (significant, separately identifiable evaluation and management [E/M] service by the same physician on the same day of the […]

Collaboration is what takes to get the best out of Optometry Practice in Florida

When one has to manage something as important as the claims submission for your optometry practice, many can be defensive of the process as it directly connects with their revenue cycle. As a healthcare service provider and a facility owner, it’s great to keep an eye on the processes that are making your practice earn […]

General Surgery Billing Alerts that determine your Revenue Cycle

For a surgeon or medical practitioner, group practice, or clinic, insights into how specialty medical billing works can be a scary task. A billing agent that does not bill the sittings correctly misses deadlines, or does inadequate follow-up can have an abysmal effect on your facilities’ bottom line. However, a well-organized billing service cannot only […]

Boost your General Surgery Billing Pitfalls with the Perfect Association

Medical billing and coding for general surgery are not as simple as you think. Besides being educated in procedures ranging from hernia repair to bladder surgery, the billing and coding staff need to be knowledgeable in the proper use of the global surgical package, modifiers for surgeon roles and same-day procedures, and citations for unlisted […]

Avoid the Top 10 Modifier Mistakes – Modifier 79

Matching CPT code with an ICD 10 code, would seem to be a very straightforward process but there are always variations/exceptions to everything. Sometimes, there are related services that the physician is performing, global periods to contend with, etc. Modifiers will clarify extenuating circumstances, which should allow for payment when they otherwise may not. That […]

Avoid the Top 10 Modifier Mistakes – Modifier 51

Matching CPT code with an ICD 10 code, would seem to be a very straightforward process but there are always variations/exceptions to everything. Sometimes, there are related services that the physician is performing, global periods to contend with, etc. Modifiers will clarify extenuating circumstances, which should allow for payment when they otherwise may not. That […]

Avoid the Top 10 Modifier Mistakes – Modifier 50

Matching CPT code with an ICD 10 code, would seem to be a very straightforward process but there are always variations/exceptions to everything. Sometimes, there are related services that the physician is performing, global periods to contend with, etc. Modifiers will clarify extenuating circumstances, which should allow for payment when they otherwise may not. That […]

Avoid the Top 10 Modifier Mistakes – Modifier 58

Matching CPT code with an ICD 10 code, this would seem to be a very straightforward process but there are always variations/exceptions to everything. Sometimes, there are related services that the physician is performing, global periods to contend with, etc. Modifiers will clarify extenuating circumstances, which should allow for payment when they otherwise may not. […]

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. MBC helps many practices to pinpoint the coding issues so that there will be no Common Claim Errors. […]

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