Telehealth CPT Codes and Billing Guide Explained
Understanding Telehealth in Modern Healthcare Telehealth is no longer a futuristic idea; it’s a real, accessible tool reshaping how care is delivered. From remote video visits to audio-only check-ins, telehealth services allow providers to care for patients anytime, anywhere. But while convenience has grown, so has the complexity of telehealth CPT codes and billing rules. […]
Chronic Care Management (CCM) Billing And Coding Guide
What Is Chronic Care Management (CCM)? Chronic Care Management (CCM) is an important part of today’s healthcare system. This is especially true for patients with multiple chronic conditions. It means services that are not in-person. These services help Medicare beneficiaries manage their long-term health. These services include care coordination, managing medications, and regular follow-ups. They […]
What is a Grace Period in Medical Billing? – Explained
Understanding the Grace Period in Health Insurance A grace period in medical billing is extra time for policyholders to pay their premiums. This happens after the due date has passed, and it allows them to keep their coverage without losing it right away. This timeframe ensures that temporary financial setbacks don’t cause an abrupt lapse […]
What is an ABN in Medical Billing? – Explained
Understanding ABN: Advanced Beneficiary Notice An ABN, or Advance Beneficiary Notice of Noncoverage, is a written notice for Medicare beneficiaries. It tells them that Medicare might not cover some items or services. It is an important part of medical billing. Providers think a procedure might face denial because of coverage limits. In simple terms, it […]
Simple Glossary of Medical Billing and Coding Terms
If you are new to healthcare or trying to understand your medical bills, it is important to learn medical terms. These terms are not just industry jargon. They help clarify processes, explain charges, and ensure clear communication between providers, insurers, and patients. This simple glossary explains important medical billing and coding terms in easy language. […]
Physical Therapy Billing Units Comprehensive Guide
Understanding Physical Therapy Billing Units When it comes to physical therapy billing, accuracy and compliance are critical. Physical therapy billing units, often referred to as PT billing units or therapy units, form the foundation of how services are reported and reimbursed, particularly under Medicare and Medicaid. In this guide, we’ll break down what billing units […]
Correct Billing Instructions And Usage for KX Modifier
What Is the KX Modifier in Medical Billing? The KX modifier is a billing code for Medicare claims. It shows that the provider has met all the necessary documentation and coverage requirements for a service. It essentially expresses: “Yes, someone followed the rules.” We meet the requirements.” KX Modifier = Documentation on File & Criteria […]
Correct Billing Instructions And Usage for GZ Modifier
What Is the GZ Modifier in Medical Billing? The GZ modifier is a two-letter code used in medical billing. It shows that a provider or supplier thinks Medicare will deny a service or item. They have not gotten a signed Advance Beneficiary Notice (ABN) from the patient. In simple terms, GZ = No ABN, Likely […]
Correct Billing Instructions And Usage for GY Modifier
What Is the GY Modifier in Medical Billing? The GY modifier is a billing code in medical billing. The statement indicates that Medicare does not cover an item or service. In simpler words, it tells Medicare: “We know this isn’t covered, and we’re not asking for payment.” GY Modifier = Not Covered by Law The […]
Correct Billing Instructions And Usage for GA Modifier
What Is the GA Modifier in Medical Billing? The GA modifier is a two-character code used in medical billing. It shows that a provider has a waiver of liability. We call this waiver an Advance Beneficiary Notice (ABN). It applies to a service or item that Medicare might deny. In simple terms, it informs Medicare: […]
