Modifier -73 — CPT guidelines state that the physician may cancel a surgical or diagnostic procedure subsequent to the patient’s surgical preparation (including sedation when provided, and being taken ...

Medical billing and medical coding are crucial aspects of the medical revenue landscape. Both jobs ensure health care providers get paid for their services. Medical coders read the providers’ ...

Why was the creation of a new audio-only modifier necessary? Several reasons: data collection, policy implementation, health care equity, widespread need, and service specificity. Prior to the ...

Small insurance coding mistakes can end up costing you more than you realize at the pharmacy or doctor’s office. These 6 ...

2. Under-utilization of -59: It’s not taboo. When the Medicare edits (NCCI) correct coding modifier indicator (i.e., 1) allows a modifier to indicate a “separate” and “distinct” procedure, users may ...

Medical school curriculum is heavy in anatomy, physiology, biochemistry, pathology, and clinical rotations or clerkships. There is very little, if any, instruction on proper coding and billing for ...

Orthopedic billing and coding require precision, from accurate CPT and ICD-10-CM usage to proper modifier application, to ensure compliance and optimal reimbursement. Strong documentation is the ...