Billing

Modifiers- What Stories Do They Tell?
CPT code modifiers
by Carrie Dunham-Leach on
Most think the full patient story is in the medical records. This is partially true, but a large part of the patient treatment story is told by the CPT codes billed and the modifiers added to those CPT codes. There are hundreds of modifiers to choose from and choose wisely because the modifiers added to a code could result in a denied or unpaid claim. Modifiers May Be Used To: Identify a rel …

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Claim Denials and Appeal Procedures
medical billing
by Carrie Dunham-Leach on
Recently, it was brought to my attention that some in the medical billing field refer to denials as either a hard or soft denial. I stubbornly insisted that denials are denials and need to be worked. Upon researching, soft denials are those that can still be fought or appealed while a hard denial is the end of the line, there is nowhere to go, and the claim will not be paid. How to Avoid Claim De …

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National Drug Codes -NDC’s
National Drug Code’s
by Carrie Dunham-Leach on
As if getting paid for your services wasn’t hard enough, how does a provider receive reimbursement for the drugs administered in the office? NDC’s are the National Drug Code’s given by the FDA to identify each drug manufactured for humans. Any drug that is considered an over the counter drug, or OTC, is given this code that is broken down into 3 numerical groupings. The first, being the …

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Staying Up-To-Date with Dermatology Billing and Coding
Billing and Coding
by Harold R Gibson on
Dermatology practices often deal with denials and even audits because the complexities of billing and coding lend themselves to a lot of billing and coding errors. Billing and coding for dermatology requires detailed reporting, detailed information on procedures completed and following multiple procedure rules. Throughout the past several years, multiple changes have been made to dermatology codes …

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Need a Billing & Coding Brush-Up?
Dermatology Coding and Billing
by Adam Friedman, MD on
Have you ever realized you weren’t getting paid because of an error in coding? The good news is you don’t need to be an expert to know how to get paid. Brush up on the basics of ICD-10 from a documentation standpoint and rest easy that you will be properly paid for all your bills submitted to insurance companies. This practical webinar recording with Dr. Adam Friedman will keep you informed: …

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