CPT modifiers (also referred to as Level I modifiers) are used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. Code modifiers help further describe a procedure code without changing its definition. What is a 24 modifier usedRead More →
Claim Adjustment Reason Codes (CARCs) communicate an adjustment, meaning that they must communicate why a claim or service line was paid differently than it was billed. If there is no adjustment to a claim/line, then there is no adjustment reason code. What is a denial in medical billing? A deniedRead More →
Z02. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. How are medical procedures coded? The two main procedure coding systems are the Current Procedural Terminology (CPT) codes and the Healthcare Common Procedure Coding System (HCPCS). The American Medical Association (AMA) maintainsRead More →
ICD-10 Coding: Three Ways to Improve Quality: Consistency, Collaboration, and Education Justifying Your Quality Program to the C-Suite. Improving Your Quality Program. Consistency Builds Quality Coding. Collaboration Prevents Coding Denials. Education Improves Coding Accuracy. Keeping an Eye on Productivity. Conclusion. What are the three main steps to coding accurately? AccomplishRead More →
Medical billing and coding can be hard at times, but it is by no means impossible. Like many healthcare careers, becoming a medical biller and coder will take education and training. In other words, it will take hard work. However, if you love learning, the tactics of medical billing andRead More →
HCPCS (Healthcare Common Procedures Coding System) HCPCS codes are used to report supplies, equipment, and devices provided to patients. A limited number of procedures not otherwise contained in the CPT system are also found here. What is the difference between a CPT code and a HCPCS code? 1. CPT isRead More →
CPT codes are, for the most part, grouped numerically. The codes for surgery, for example, are 10021 through 69990. In the CPT codebook, these codes are listed in mostly numerical order, except for the codes for Evaluation and Management. How do I get a CPT code? In order to establishRead More →
In order to make sure that you get paid for the treatment, a ‘Referral’ from your doctor is a must. Under medical billing, it is a significant record obtained from a provider so that you can acquire the specialized services from a specialist, your doctor has referred you to. WhatRead More →