Modifiers are used in medical billing for identifying procedures that have been altered, without changing the core meaning of the code(s) submitted. Proper modifier use is crucial in claims submitted for chiropractic treatment. Many providers leverage chiropractic...
Medical Billing
Understanding MPPR and Modifier 51 Use
As surgical and medical services often include pre-procedure and post-procedure work, healthcare providers may perform multiple procedures during a single patient encounter. Multiple Procedure...
Coding Mitral Valve Prolapse – A Common Heart Valve Abnormality
Regarded as the most common heart valve abnormality, mitral valve prolapse (MVP) occurs when the flaps (leaflets) of the heart’s mitral valve do not close evenly, but bulge (prolapse) into the...
Medicare Podiatry Billing Guidelines
Podiatry specialty deals with the diagnosis and treatment of diseases, injuries, and defects of the human foot. Podiatrists treat diverse foot related conditions such as toenails, heel spurs, fallen...
Dermatology Medical Billing and Coding – Key Considerations for Success
Dermatology practices must adhere to the latest dermatology CPT coding and billing guidelines for accurate reimbursement and compliance. Accurate clinical documentation of the procedures along with...
Know Payer-specific Deadlines for Claims Submission
The recent announcement by Anthem Blue Cross about changes in timely filing limits for Medicare Advantage plans points to the importance of efficient insurance eligibility verification and claim...
Peripheral Neuropathy – Causes, Symptoms, and Diagnosis Code Assignment
The peripheral nervous system consists of an intricate network of nerves that connects the brain and spinal cord to the rest of the body. Peripheral neuropathy develops when these nerves become...
Improve Chiropractic Billing Efficiency with Accurate E/M Coding
Every experienced chiropractic billing company knows that Evaluation & Management (E/M) codes are among the most important code sets used in chiropractic offices. Knowing the CPT guidelines for...
Obstetrics Medical Billing and Coding – Important Considerations
With changing industry regulations, new codes and coding standards, and varying payer reimbursement rates and policies, all types of medical practices are facing increased workloads related to...
Managing the Impact of Seasonality on the Healthcare Revenue Cycle
An increasing number of healthcare organizations have moved from in-house medical billing or revenue cycle management (RCM) to medical billing outsourcing. Technological advancements and changing...
Split/Shared Services – Benefits and Billing Guidelines
Shared or split visits are one of the important services that medical billing and coding companies help healthcare providers report. In 2002, the Centers for Medicare & Medicaid Services (CMS)...