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Common Practice Challenges Faced by Orthopedic surgeons

Common Practice Challenges Faced by Orthopedic surgeons

There are many distinctive as well as common practice challenges faced by orthopedic surgeons over and again. These encounters mainly hinder their business cycle, and sometimes you may also find orthopedic healthcare units closing down. Challenges like rising or unavailability of implants and their costs, healthcare reform implementation, and a clean revenue cycle in the […]

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Why you should tread carefully when using Modifiers -25 and -59 in Urology Billing?

Why you should tread carefully when using Modifiers -25 and -59 in Urology Billing?

Urology Billing is the process by which healthcare practitioners bill insurance companies for services provided to patients. The Urological Supplies Local Coverage Determination (LCD) provides for the use of modifiers with each submitted HCPCS code to indicate whether the applicable payment criteria are met KX modifier and to provide other information related to coverage and/or liability (GA, […]

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OIG’S VOLUNTARY COMPLIANCE TO MEDICAL BILLING COMPANIES

OIG’S VOLUNTARY COMPLIANCE TO MEDICAL BILLING COMPANIES

Health care providers are relying on billing companies to a greater degree in assisting them in processing claims in accordance with applicable statutes and regulations. Additionally, health care professionals are consulting with billing companies to provide timely and accurate advice with regard to reimbursement matters, as well as overall business decision-making. As a result, the […]

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What Are CPT Modifiers And Why Medical Billing Companies Use Them?

What Are CPT Modifiers And Why Medical Billing Companies Use Them?

Since medical procedures and services are often complex, we sometimes need to supply additional information when we’re coding. CPT modifiers may describe whether multiple procedures were performed, why that procedure was necessary, where the procedure was performed on the body, how many surgeons worked on the patient, and lots of other information that may be […]

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Claim Reimbursement as per various Health Care Plans

Claim Reimbursement as per various Health Care Plan

There are a number of ways in which health insurance carriers provide coverage. Health Care plans insurance coverage can be quite complex, as it involves the coordination between a healthcare provider, the health insurance provider, and the actual person receiving care. Some of the methods of coverage include managed care, indemnity policies, and high-deductible plans. […]

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What Are Chiropractic Adjustments?

What Are Chiropractic Adjustments?

The chiropractic adjustment is a procedure in which trained specialists use their hands or a small instrument to apply a controlled, sudden force to a spinal joint. The goal of chiropractic adjustment, also known as spinal manipulation, is to correct structural alignment and improve your body’s physical function. A chiropractic adjustment refers to a chiropractor […]

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