Medical Billing Blog with Medical Billing & Coding Info & Articles
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Welcome to the medical billing blog containing news and articles relating to medical billing, medical coding, ICD, HIPAA and practice management functions.
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Revisiting Modifiers 25 and 57
If you have a number of medical billing claims getting rejected, once you rule out any larger reasons, you might start looking for the key in the use of; or rather the lack of not using modifiers as a part of your medical billing claims. Two of the main modifiers that get people in trouble with their medical billing claims in the forms of rejections are modifiers 25 and 57. Modifier 25 reads , “Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service” is kind of a catch all modifier for procedures that may not have an exact …
Why Outsource Medical Billing Claims?
Admit it, you’ve considered outsourcing your medical billing claims and then pushed that thought away because you thought that you would have to do too much rearranging in the way your claims were handled and you do not want to slow your reimbursement revenue flow to a trickle during a transition process. If you could seamlessly switch your medical billing claims to an outside firm without disrupting your cash flow for your practice would you be a little more relaxed about making a switch? It can be done easily if you do a graduated switch. An easy way to switch your medical billing claims to outsourcing is to simply start …
Outsourcing Makes Reimbursements Happen Faster
Think about it, would you ever think that sending your medical billing claims outside of your office could actually get them paid quicker? It doesn’t sound logical at first glace, but it’s very true the outsourcing your medical billing claims will usually get them paid faster. Think about how often your in-house staff gets interrupted, how often the crisis of the moment rears its ugly head and day to day managing of the office prevents them from filing, double checking accuracy, and following up on your submitted claims. Time is also lost re-submitting claims when they get kicked back for the smallest of errors in coding. As you know, Medicare …
Medical Billing Services Free Your Staff
If your staff is stretched to the limits handling patients and day to day business matters in your practice, it might be time to consider outsourcing your medical billing claims. When you outsource, your claims can become seamless and you will lose the hassles of keeping up with the latest criteria in coding and the paper chase of your medical billing is effectively over. Simply by outsourcing your medical billing claims, you can leave so many of the irritating and sometimes time consuming processes that are required to file your medical billing claims. Not only can your medical billing partner file your claims,they will follow up on those claims too. …
Ending Confusion on Multiple Procedures
When you have a patient that has had multiple procedures performed, make sure that the group of procedures that were performed actually require modified 51 before you attach it. The CPT has a list of certain coding that are exempt from modifier 51. The CPT manual designates modifier 51 (Multiple procedures) exempt codes with a “circle with a slash” symbol to the left of the code for the services rendered. There is usually a complete listing of modifier 51 exempt codes in an appendix. The list is “a summary of CPT codes that are exempt from the use of modifier 51 but have NOT been designated as CPT add-on procedures/services,” …
