الوسم: Claims
All About Medical Billing, Coding & Claims Modifiers
[ad_1] Importance of Using Proper Modifiers: 1. The physician performed multiple procedures 2. The procedure performed was bilateral 3. The E/M service was done on the same day of the procedure 4. The procedure was increased or decreased 5. The procedure has both professional and technical component 6. The procedure was performed by other provider…
Prevent Down Coding By Insurance Companies On Medical Claims
[ad_1] Ever wonder why sometimes when you get reimbursed for a claim, the insurance company has “changed the code to a more appropriate code for payment”? You submitted the claim as a 99214 but they paid you for a 99213 or even worse, a 99212. This practice is called downcoding. Do you have to accept…