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...
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Billing and Coding Tips for Spine and Pain Management
The diagnosis and treatment for spinal care can be complex, and requires a multidisciplinary team of healthcare specialists - neurosurgeon, orthopedic surgeon, physical therapist, chiropractor and...
What Can Be Done If A Prior Authorization Is Denied?
Obtaining prior authorization (PA) is a complex, time-consuming, and often frustrating process that inadvertently delays access to timely patient care. Pre-authorization requirements are stringent,...
What Are the Steps Involved in the Pharmacy Prior Authorization Process?
Healthcare providers and patients often report difficulties with health insurers regarding prior authorizations, with many consumers saying their care was either denied or delayed last year, due to...
Understand the Key Elements of ‘Incident-to’ Billing
Physician-owned multispecialty groups and practices benefit from utilizing nonphysician providers (NPPs) such as registered nurse anesthetists, physician assistants, and surgeon’s assistants. Under...
Ophthalmology Medical Coding Myths Pertaining to Foreign Body Removal
When coding for foreign body removal, it is necessary to evaluate all the potential CPT codes. After careful examination, select the most relevant codes that accurately reflect the treatment...
Navigating Pain Management Billing and Coding: Challenges and Proven Best Practices
Pain management practices face several unique medical billing challenges. Accurate billing and coding is essential for proper reimbursement and compliance, but can be challenging due to the...
Key Considerations for Coding and Billing Hospitalist Services
Hospitalists play a crucial role in patient care, especially in inpatient settings. Hospital medicine practice requires using specific medical codes for billing medical services. Hospitalists often...
Guidelines to Optimize Your Pain Management Medical Billing and Coding Processes
Pain management involves a wide range of procedures, interventions, and medications, each requiring specific coding. Successful claim submission requires in-depth knowledge of medical terminology,...
CPT Codes Used to Report Neuraxial Labor Analgesia/Anesthesia
The coding and billing considerations for an obstetric anesthesia procedure differ from the surgical anesthesia procedure. So, navigating the nuances of obstetric anesthesia requires precise...
Tips to Optimize Your Dental Billing in the Fall
So much happens in the fall: cooler days, schools reopening, parties, thanksgiving, and so much more. For dental practices, this season can be a challenging time due to the dip in patient volume due...