The Magic of Modifiers
The confusion begins; accurate complete coding drives clean and accurate claims. We know physicians should code their own services; the reality is many do not. Dr. Tom Fasciewski states coding is a "team sport", physician, coder and billing staff should all be involved. Open lines of communication are key, and the most successful practices today work as a team, knowing that the rules and regulations are constantly changing.
Medical record coding is not always an exact science; correct coding is the key to unlock successful reimbursement. Part of this coding process is giving a complete story to the insurance payer. To do this, understanding modifiers and how to apply to your claims is essential. Approximately 15% of claim denials are due to lack of or incorrect modifier usage, and although we learn "coding is coding", various payer rules and i...
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