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
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)...
Understanding Unbundling in Medical Billing
In 2018, the American Medical Association (AMA) identified unbundling codes or using multiple CPT codes for parts of a procedure, as one of the most common medical coding errors. As every medical...
Billing and Coding Arthroscopic Knee Surgery
Knee arthoplasty is a common minimally-invasive surgery performed in orthopedics. Reporting knee surgery can be complex as it requires a proper understanding of modifier usage, varying definitions,...
Maximizing Care and Reimbursement with Chronic Care Management Codes
Up to half of adult Americans (117 million people) have a chronic medical condition, according to the Centers of Disease Management and Control (CDC). In fact, the majority of patients that family...
MDPP Services – CMS’ Key Billing Practices and Payment Rules
Diabetes is now the fastest-growing chronic disease globally and is the costliest chronic condition in the U.S., as reported by the American Diabetes Association (ADA). The Medicare Diabetes...
2019 ICD-10 Code Changes for Chiropractors
Starting October 1, 2018, a new ICD-10 code set went into effect for chiropractors. All chiropractic services provided after this date need to be reported using the new codes. With the increasing...
How to Successfully Appeal Denied Claims
As a physician, your primary goal is to ensure you are paid for the services you provide. Outsourcing medical billing is an effective way to achieve this, but claim denials can occur due to various...
New Codes to bill Medicare for Remote Patient Monitoring (RPM) in 2019
In 2019, medical billing companies will help providers bill Medicare for Remote Patient Monitoring (RPM) with three new CPT codes. The American Medical Association (AMA) points out that Medicare's...
Benefits of Electronic Medical Billing over Paper Billing
In an age when nearly everything is digital, an efficient medical billing process is essential to ensure smooth submission and follow up on medical claims with health insurance companies for...
How to Ensure Efficient Accounts Receivable Management in Ambulatory Surgery Centers
Managing accounts receivable (A/R) is an important activity in any specialty, including ambulatory surgery centers (ASCs), as it assists providers in receiving appropriate reimbursement for services...