Tag Archives: Modifier 58

How to Deal with Patient Responsibility?

As patient responsibility balances climb, practice owners are seeking effective methods of collecting outstanding patient balances and ways to collect more payment at the time of service. Estimating patient responsibility prior to claims adjudication is tricky business. However, practices can … Continue reading

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Essential Tips for Handling Cardiology Coding and Billing

Cardiology billing and coding comes with multiple procedure rules, complex contractual adjustments, and codes that change regularly. CPT code assignment has the potential to be challenging, particularly when modifiers are used, and staying up to date with new codes, code … Continue reading

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Correct Coding for Pre-operative Clearance

Primary care physicians are often asked to evaluate a patient prior to surgery at the request of the surgeon. Patients at an advanced age and those with significant medical problems face increased risk for surgical morbidity and mortality, and preoperative … Continue reading

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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, … Continue reading

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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 … Continue reading

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General Surgery Coding Alerts that determine your revenue cycle

For a surgeon or medical practitioner, group practice or clinic, the insights on how specialty medical billing works can be a scary task. A billing agent that that does not bill the sittings correctly misses deadlines, or does inadequate follow-up … Continue reading

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Boost your General Surgery Billing Pitfalls with the perfect association

Medical billing and coding for general surgery is not as simple as you think. Besides being educated in procedures ranging from hernia repair to a bladder surgery, the billing and coding staff need to be knowledgeable in the proper use … Continue reading

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