Tag Archives: largest medical billing companies in usa

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. … Continue reading

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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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AMA Releases 335 CPT Changes For 2019

The American Medical Association (AMA) announced the release of the 2019 Current Procedural Terminology (CPT) code set on 5th Sept 2018. There are 335 code changes in the new CPT edition reflecting the CPT Editorial Panel and the health care … 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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Gastroenterology CPT and HCPCS Code Upgrades 2019

On September 5, 2018, the American Medical Association (AMA) released the 2019 CPT Code Set in an official press release. The main theme surrounding new codes, revised codes, and deleted codes is to increase specificity. This is a good time … 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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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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