10 Tips to Reduce Claim Rejections
A rejected claim contains one or more errors found before the claim was processed. Errors will prevent the insurance company from paying and the rejected claim is returned to the biller to be...
View ArticleNew Medicare Enrollment Application (For Physicians and Non-Physician...
CMS received approval for a new Medicare Enrollment Application for physicians and non-physician practitioners (CMS-855I dated 12/2018). Many changes are minor; the major ones reduce provider burden:...
View ArticleUsing 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...
View ArticleHow to Utilize Patient Waiting Time for Better Patient Satisfaction?
Patients perceive long waiting times as a barrier to obtain medical services. Keeping patients waiting can be a cause of stress for both patient and doctor. Even though long patient wait time is not a...
View ArticleHow Are You Handling Patient No-Show?
Patient no-show is a recurring problem for any medical practice or healthcare facility. As per the recent study, no-show rates in an outpatient setting can range between 22 percent and 35 percent,...
View ArticleIncreasing Your Practice Revenue by Adding New Patients Using SEO
As we all know, in the current age of the internet, having a website for your practice is a must. But if your website is not properly optimized then you would fall behind the competition. SEO stands...
View ArticleHow 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...
View ArticleGastroenterology 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...
View ArticleAppropriate 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...
View ArticleGeneral Coding Guidelines for Osteoporosis
Osteoporosis is a bone disease that involves abnormal loss of bony tissue resulting in fragile or porous bones. Without appropriate treatment, osteoporosis can worsen. As bones get weaker and thinner,...
View ArticleAMA 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...
View ArticleIdentify 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...
View ArticleAvoid 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...
View ArticleAvoid the Top 10 Modifier Mistakes – Modifier 50
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...
View ArticleAvoid the Top 10 Modifier Mistakes – Modifier 51
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...
View ArticleAvoid the Top 10 Modifier Mistakes – Modifier 79
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...
View ArticleBoost 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...
View ArticleGeneral 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...
View ArticleCollaboration is what takes to get the best out of Optometry Practice in Florida
When one has to manage something as important as the claims submission for your optometry practice, many can be defensive of the process as it directly connects with their revenue cycle. As a...
View ArticleHow 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...
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