Medicare Billing
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General Surgery Billing Services
Using Correct Combinations – Modifier 24 and 25
One of the most frequent errors can result from the submission of invalid modifier combinations. In addition to the accurate…
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Medical Billing Services
Provisional Prior Authorization from Medicaid- Three State Approach
Beneficiaries who are dually eligible for Medicare and Medicaid often experience difficulties accessing durable medical equipment (DME), such as wheelchairs,…
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Medical Billing Services
Using Correct Combinations – Modifier 50
One of the most frequent errors can result from the submission of invalid modifier combinations. In addition to the accurate…
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Medical Billing Services
Reimbursement Guidelines for Modifier 90
Reference (Outside) Laboratory: When laboratory procedures are performed by a party other than the treating or reporting physician, the procedure…
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Podiatry Billing Services
CMS Proposes HCPCS G-codes for Podiatric E/M Visit Payment Scheme
In July 2018, CMS has proposed a major reworking of its evaluation and management (E/M) visit payment scheme to reflect…
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Podiatry Billing Services
Correct Use of Modifiers for Podiatry Services
Improper use of modifiers can be the cause of claim denials just as not using a modifier can be. When…
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Wound Care Billing Services
Identifying the Place of Service (POS) for Outpatient Wound Center
The Centers for Medicare and Medicaid Services (CMS) issued requirements for provider-based departments and entities as part of the final…
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