Demystify Modifier 25
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Medical Office Support
What are Unnecessary Claim Errors costing you?
In today’s business of healthcare landscape making mistakes can cost a Medical Practice or facility thousands annually. Do you know the true cost of the errors made in claim submission at your facility or clinic? Understanding the errors is part of the equation but the most beneficial thing we can do is learn to prevent …
The Prior Authorization Barriers in Orthopedics
It’s a fact that in the current healthcare landscape that the amount of Prior Authorization errors or lack thereof are draining the healthcare industry in finance and resources. When a patient needs a service, and a facility is overrun with orders it can be a very complicated task for a clinic or facility to manage with so many …
EOB and Denial Management 101
What is an EOB or Explanation of Benefits? Every insurance payer will give a written explanation of the charges you submitted, what they will pay or not pay, what the patient may or may not owe and any reasons for non payments. How to read an EOB Most patients are not able to understand how …
Misunderstood Modifiers
Many attended my presentation on Modifiers last month in Dallas at AAPC®️Healthcon where I discussed many modifiers that effect the Global Billing process and Surgery Claims. As many will attest that we only scratched the surface when it comes to modifiers. There are so many modifiers to use in so many areas of reimbursement and …