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Avoid the Top 10 Modifier Mistakes – Modifier 58

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. […]

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How accurate you can use Modifier 58 in Medical Billing?

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 was a) planned or anticipated (staged); b) more extensive than the original procedure, or c) […]

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Why You Should Understand the Basics Of Bundled Payment In Healthcare?

Why You Should Understand the Basics Of Bundled Payment In Healthcare?

Bundled payments sooner rather than later, are likely to become a more common thing in the healthcare industry. Bundled payment policies are being leveraged to incentivize improved care coordination, quality, patient safety, and cost proficiency in a system which is badly in need of developments in these areas. Bundled Payments Is Catching Up With You […]

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How Analytics Is The Answer To Compliant Coverage Identification for Medical Billing?

How Analytics Is The Answer To Compliant Coverage Identification for Medical Billing?

Today with the healthcare industry undergoing a huge change; adding up a lot of confusion and challenges that physicians practice, hospitals, labs, clinics, and durable medical equipment companies are finding it hard to cope. The liability of the self-pay accounts is a growing problem with the providers which is now incurring billions of dollars losses […]

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Key Takeaways For Physicians From Value-Based Reimbursement

Key Takeaways For Physicians From Value-Based Reimbursement

In the rapidly changing healthcare landscape, payers are asking medical providers to shift from volume-based care; the fee for service to a value-based reimbursement structure. This evolution toward value-based reimbursement benefits the patient, the healthcare provider as well as the payers. Value-based reimbursement encourages healthcare providers to deliver the best care at the lowest cost. […]

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Technology can help you Promote Value-based Reimbursement

Technology can help you Promote Value-based Reimbursement

Before we understand how technology can improve your Value-based reimbursement we have to understand what a value-based reimbursement means for hospital billing. Hospital revenue is currently going through a turmoil of value-based reimbursement you have to satisfy the following criteria Risk-adjusted mortality Risk-adjusted readmission rates Low-cost structure Along with this, we have to stay in-line […]

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