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Understanding Modifier 25 and Modifier 24: Differences and Uses in Medical Billing 

  • Post author:Rajan N Chandra
  • Post published:August 10, 2023
  • Post category:Uncategorized

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,…

Continue ReadingUnderstanding Modifier 25 and Modifier 24: Differences and Uses in Medical Billing 

Calendar Year (CY) 2024 Medicare Physician Fee Schedule Proposed Rule

  • Post author:Rajan N Chandra
  • Post published:July 20, 2023
  • Post category:Uncategorized

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…

Continue ReadingCalendar Year (CY) 2024 Medicare Physician Fee Schedule Proposed Rule

ABC Presentation

  • Post author:Rajan N Chandra
  • Post published:October 29, 2021
  • Post category:Uncategorized

Continue ReadingABC Presentation

Invalid member name, date of birth or identification number

  • Post author:Rajan N Chandra
  • Post published:February 9, 2021
  • Post category:Uncategorized

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…

Continue ReadingInvalid member name, date of birth or identification number

2021 E&M update

  • Post author:Rajan N Chandra
  • Post published:December 31, 2020
  • Post category:Uncategorized

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…

Continue Reading2021 E&M update

How to avoid medical records request from UHC

  • Post author:Rajan N Chandra
  • Post published:December 3, 2020
  • Post category:Uncategorized

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…

Continue ReadingHow to avoid medical records request from UHC
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Recent Posts

  • Understanding Modifier 25 and Modifier 24: Differences and Uses in Medical Billing 
    August 10, 2023/
    0 Comments
  • Calendar Year (CY) 2024 Medicare Physician Fee Schedule Proposed Rule
    July 20, 2023/
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  • SCAI 2022 Scientific Session
    May 26, 2022/
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