{"id":5203,"date":"2015-04-15T13:29:53","date_gmt":"2015-04-15T13:29:53","guid":{"rendered":"http:\/\/www.medicalbillersandcoders.com\/blog\/?p=5203"},"modified":"2025-05-24T07:53:52","modified_gmt":"2025-05-24T07:53:52","slug":"7-great-billing-and-coding-tips-to-boost-your-reimbursements","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/7-great-billing-and-coding-tips-to-boost-your-reimbursements\/","title":{"rendered":"7 Great Billing and Coding Tips To Boost Your Reimbursements"},"content":{"rendered":"

We can\u2019t overlook the fact that medical billing is getting complicated, with more stringent rules being implemented on a frequent basis. Healthcare providers are always challenged with the risk of bankruptcy, as they face hurdles in maximizing their revenue due to rejected claims owing to some inaccuracies in the medical coding and claims filing process.<\/p>\n

We at Medical Billers and Coders (MBC)<\/strong><\/a> are involved in continuous research to stay up to date with the current billing rules and trends. Here are some essential medical billing and coding tips, highlighting the common, but critical inaccuracies that tend to pass by unnoticed.<\/p>\n

7 Medical Billing and Coding Tips:<\/h2>\n

1. Spending too much time on counseling? Remember to charge extra. <\/b><\/p>\n

As per the current CPT guidelines, you can use a higher level E\/M code, based on the additional time you spend on patient counseling and coordinating their medical care procedures, regardless of the complexity of the diagnosis or the care procedures themselves. However, you can\u2019t essentially count in the time spent in coordinating patient referrals or while reviewing the patient records for arranging the preliminary visit.<\/p>\n

2. Using the -25 modifier code? Pay close attention to documentation.<\/b><\/p>\n

When you attach a modifier -25 to your documentation to file for two separate claims for an E\/M service and a procedure, clearly specify the details of each of the tasks performed. For instance, if a patient walks in for a routine health check-up and you also end up treating a foot corn, do ensure that you include the depth, width, and location of the corn, in addition to the details of your analysis and evaluation.<\/p>\n

3. Separately charging a patient for an E\/M service and a preventive procedure? Make sure you\u2019re billing correctly.<\/b><\/p>\n

If the preventive procedure you have performed is closely associated with the chronic or the acute medical condition you are treating her primarily, then your E\/M code will not be validated. You can only bill an E\/M service and a preventive procedure separately if the two are potentially unrelated.<\/p>\n

4. Avoid under-coding your bills by being attentive to the amount of decision-making involved.<\/b><\/p>\n

Many physicians tend to code their bills based on the complexity of the diagnosis, overlooking the intricacies involved in the managerial aspects of care. This often leads to 99204 or 99214 (level 4) codes to be incorrectly coded as 99203 or 99213 (level 3) codes, respectively. Patients can be coded as 99214 if you fulfill two out of the following three parameters:<\/p>\n