Appropriate Modifiers can Reduce Denials
Posted by ecareindia on February 28th, 2015
Everyone in the healthcare billing space knows very well that a wrong modifier can have a huge impact on the reimbursement. It is to avoid such errors that healthcare entities have employed dedicated teams to pay more attention in coding and applying modifiers. However, with the ICD-10 transition, the coding strategies are expected to change widely. Medical coding specialists can carry out medical claims processing, only if they are well-versed in ICD-10 medical coding techniques. Modifiers vary based on other factors too, so using the appropriate ones is very important for proper claim payment and to minimize denial management efforts and a pile up of accounts receivable management. Let us take a look at the importance of Modifiers and how widely they vary:
What are Modifiers?
Each medical service rendered by Providers is assigned with a specific CPT code. Sometimes, to shed more light on a particular service, two digit alpha, numeric or alpha-numeric codes are used along with the original CPT code and these codes are called Modifiers. They help a great deal in explaining to the Payers whether the service involved one or more physicians, had professional or technical component, provided in one location or multiple locations, why 2 similar services were done the same day etc.
Modifiers vary based on the following factors:
About e-care India:
E-care India has 15 years of medical billing and coding experience in the industry. E-care’s 3 offshore medical billing delivery centers have been providing end-to-end medical claims processing, denial management services seamlessly to its clients. To know more about e-care and its services, log on to www.ecareindia.com.Also See: Medical Claims, Claims Processing, Network Providers, Modifiers Vary, Modifiers, Medical, CodingTop Searches - Trending Searches - New Articles - Top Articles - Trending Articles - Featured Articles - Top Members
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