Modifier Coding

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    Previously, we looked at six of our top 10 CPT® modifiers that create confusion and problems in coding and billing for medical services and procedures. In this last post, we present the top four misused CPT® code modifiers. See if you agree with us! 4) Modifier   Read more..
    Posted on 15 Jan, 2019
    Avoid the Top 10 CPT® Modifier Mistakes – Part 3
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    Last time, we looked at numbers 10 and nine on our list of CPT® modifiers that create confusion and problems in coding and billing for medical services and procedures. This time, we look at four more as we count down to the number one misused   Read more..
    Posted on 10 Jan, 2019
    Avoid the Top 10 CPT® Modifier Mistakes – Part 2
  • [addtoany]
    If there is one area of medical coding guaranteed to produce headaches for even the most seasoned coder, it has to be the use of CPT® code modifiers. Get them right, and you capture maximum reimbursement for your provider and avoid the scrutiny of eagle-eyed   Read more..
    Posted on 28 Dec, 2018
    Avoid the Top 10 CPT® Modifier Mistakes – Part 1
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    KNOW THE BASICS Use modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified healthcare professional on the day of the procedure or other service) to identify when a patient has a separate E/M service along with a procedure   Read more..
    Posted on 7 Aug, 2018
    Separate Out When to Use Modifier 25
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    Do you know? Many federal, state, and private payers report incorrect modifier use as one of the top billing errors — one that results in denials, reductions in payment, or delays in reimbursement. These claims are missing a modifier or they have an incomplete or   Read more..
    Posted on 28 May, 2018
    How to Nail Down These CPT® Modifiers Every Time
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    Separate Evaluation and Management (E/M) Services from the Rest When a provider performs an E/M service and other services including a procedure for the same patient, on the same day, you can code and bill for the procedure and the E/M service separately. You   Read more..
    Posted on 24 May, 2018
    Learn Your Way Around 5 Common Modifiers
  • [addtoany]
    Streamlining accounts receivable processes, fine-tuning patient engagement, improving staff efficiency, finessing payer relations, negotiating equitable contracts, maintaining compliance with ever-changing regulations—there’s always something. Managing a medical practice is not easy. But you can make the job easier on yourself and your staff with tips to get   Read more..
    Posted on 26 Mar, 2018
    4 Convenient Tips to Make Practice Management Easier
  • [addtoany]
    What’s the most valuable asset a practice or office manager could possess—number of years in the industry, an impressive resume, a wall of certificates? None of these hold a candle to the one tool you can’t afford to lack—a positive, constructive attitude. It’s not what you   Read more..
    Posted on 22 Mar, 2018
    The First Leadership Choice Every Practice Manager Should Make
  • [addtoany]
    “Am I at risk?” This question comes up so often when I am approached at conferences by practice managers and physicians. Many in the healthcare industry have a sense of dread when thinking about what could happen if they are targeted for a government audit   Read more..
    Posted on 20 Sep, 2017
    TCI is Heading to MGMA
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    P modifiers help to ID patient health at time of anesthesia.
    Whenever you are filing a claim that involves anesthesia administration, be sure to include a physical status (“P”) modifier on any anesthesia codes. Reason: The modifiers put a spotlight on the patient’s health at the time of the anesthesia administration. There is always the risk of adverse   Read more..
    Posted on 8 Mar, 2016
    Use P Mods to Put Patent Health Info at Forefront of Claims

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