What Is Modifier 91 and When to Use It in Medical Billing?
In the world of medical billing, precision is everything. One small mistake in coding can lead to claim denials, lost revenue, or compliance issues. Modifier 91 is one tool used for accurate billing when a lab test needs to be repeated. If you’ve ever wondered, “What is Modifier 91, and when should I use it?” […]
What Is Modifier 59 and When to Use It in Medical Billing?
In the complex world of medical billing, correct coding is essential for accurate reimbursement. One commonly misunderstood code is Modifier 59. If used correctly, it can ensure proper payment for services. However, misuse can lead to denials or audits. In this blog, we’ll explain the definition of Modifier 59, its purpose, when to use it, […]
Modifier 25 in Medical Billing: Simple Guide & Use
In medical billing, correct coding ensures accurate payment and reduces claim denials. Modifier 25 is one of the most commonly used — and misunderstood — coding tools. When used properly, it can significantly affect reimbursement outcomes. Misuse can lead to audits, penalties, or delayed payments. So, what is Modifier 25? In simple terms, it tells […]
Skin Tag ICD-10 Codes and CPT Guide for Easy Billing
Skin tags, or acrochordons, are common and harmless skin growths. They often appear in places where the skin folds, such as the neck, underarms, and eyelids. While usually harmless, many people seek to have them removed for cosmetic reasons or because they become irritated. From a billing and coding perspective, correctly using ICD-10 codes for […]
ERA vs EOB: What’s the Difference in Medical Billing?
In the complex world of healthcare reimbursement, understanding key documents like ERA and EOB is essential. If you work in medical billing, healthcare, or are a patient, you should understand the difference between EOB and ERA. People often use these terms interchangeably, but they serve different purposes in medical billing. In this blog post, we […]
What Happens If You Don’t Pay a Hospital Bill in USA?
Medical emergencies are stressful enough. But when the hospital bill arrives, especially if it’s sky-high and you can’t afford to pay, the anxiety only deepens. In the United States, where healthcare costs are notoriously steep, many people find themselves wondering. Let’s break it down clearly and calmly. Unpaid medical bills can lead to serious problems, […]
What Are PCN, RXBIN & Policy Numbers on Insurance Cards?
Please take a moment and pull out your health insurance card. It might look like a simple plastic rectangle. It still has important information that affects how you get and pay for medical care. This is especially true when filling prescriptions or visiting a doctor in Evanston, Illinois. Many patients glance at their cards and […]
AI, Automation & Top Revenue Cycle Management Trends
Please take a moment to consider how much the world of healthcare billing has changed in just a few short years. Managing healthcare finances is challenging. Constant changes in rules occur. Patient expectations are rising. Payer guidelines are complex. Collecting payments is no longer the only focus. Using smart tools and strategies helps you stay […]
Importance of Accurate Patient Data in Medical Billing
Accurate patient statistic data plays a pivotal part in guaranteeing the smooth working of the medical billing process. Mistakes or incomplete information can have far-reaching results, including claim denials, postponed reimbursements, and indeed compliance issues. Healthcare suppliers, payers, and billing experts depend on exact patient details to avoid disturbances in service delivery and revenue era. […]
How to Appeal a Denied Insurance Claim Successfully
When an insurance claim is denied, it can be inconceivably frustrating. The offer handle can sometimes feel overpowering, whether it’s health, auto, or domestic protection. However, you can increase your chances of effectively overturning a denied claim with the right approach. Here’s a step-by-step guide on how to request a denied protections claim. 1. Get […]
