Understanding Modifier 25 and Modifier 24: Differences and Uses in Medical Billing Modifier 25 Modifier 25 is a billing modifier used in the healthcare industry to indicate that a significant,…
Medicare 2024 Physician Fee Schedule Proposed Rule Key Points On July 13th, the Centers for Medicare and Medicaid Services (CMS) published the 2024 Medicare Physician Fee Schedule proposed rule (PFS) which includes proposed Medicare Part…
Insurance claim rejections and its followup Invalid member name, date of birth or identification number Policy canceled or coverage terminated Invalid or obsolete ICD 10 diagnosis code Non specific ICD…
E&M code updates of 2021 Medicare and Medicare Advantage plans are adopting the new E&M codes starting from 01/01/2021. However commercial insurances usually follow CMS and AMA guidelines, they are not…
How to avoid medical records request from United Healthcare United Healthcare requests medical records for most of the claims. After our deep analysis we found that if the total claim…
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