Accurate medical coding isn’t just about compliance—it’s the key to faster reimbursements, fewer denials, and stronger revenue flow. From CPT and ICD updates to strategic modifier use, skilled coders ...

Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...

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 ...

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 ...

Regarding the deductible with the use of modifier -33 and facility charges for commercial payors, this would be based on the individual carrier. Learn more about GENASCIS. The information provided ...