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As the non-medical activities in private practice increase over time it become complex and challenging to manage. However, the current pandemic have made it even more so. Outsourcing your billing functions would be a better option so that billing [...]
It is observed that one in five Americans is living with some form of chronic or severe pain. According to a research study, the cost of pain to US is estimated at between $560 billion and $635 billion annually. Moreover, [...]
On JAN 19, 2021, the American Medical Association (AMA) announced that the Current Procedural Terminology (CPT®) code set is being updated by the CPT Editorial Panel to include vaccine and administration codes that are unique to the COVID-19 vaccine [...]
CMS Rule Building on the CMS Interoperability and Patient Access final rule (CMS-9115-F), this proposed rule would place new requirements on Medicaid and CHIP managed care plans, state Medicaid and CHIP fee-for-service programs, and Qualified Health Plans (QHP) issuers on [...]
In a recent round of demands it has initiated, the HHS Office of Inspector General is targeting ambulance transportation services even as services continue to struggle financially during the pandemic. OIG is now seeking financial damages from ambulance services [...]
The medical billing and coding process is a complex. When a patient presents with a significant medical history or complicated case billing can be time-consuming taking days, or months, to finalize. On top of that recent amendments to the [...]
Modifier 91 is defined by CPT® as representative of Repeat clinical diagnostic laboratory test, and is used to indicate when subsequent lab tests are performed on the same patient, on the same day in order to obtain new test [...]
Reference (Outside) Laboratory When laboratory procedures are performed by a party other than the treating or reporting physician, the procedure may be identified by adding the modifier 90 to the usual procedure number. Modifier 90 should be appended to the procedure [...]
An advance beneficiary notice is a written notice (standard government form CMS-R-131) from Medicare, given to patient before they receive certain equipment or services, notifying patient that: Medicare may not provide reimbursement for that specific procedure or treatmentPatient will personally [...]
Many providers think about should I use 90834 or 90837? Both 90834 and 90837 are intended to bill for the same service – psychotherapy. The primary distinguishing factor between the two codes is time / duration of visit; 90834 [...]
