Accurately and efficiently processing medical billing claims is an important goal for nearly all healthcare offices. The correct use of modifiers is an important part of the revenue cycle management process.
As a company that provides experienced medical billing services, RevUp Billing knows that the proper use of modifiers is essential for the revenue cycle process.
Modifiers become even more complex, with Level I Modifiers (CPT) updated by the AMA and Level II Modifiers (CMS) updated by the CMS. These coding modifiers in healthcare billing are used for a variety of reasons including:
The staff at RevUp Billing has put together seven common modifiers that are often encountered when delivering medical billing services. The following list is by no means exhaustive, but these are some of the most common medical billing modifiers.
Our 7 common medical billing modifiers include:
Code modifiers are used in medical billing to provide additional information about a service or procedure. This information can be used to determine the correct reimbursement rate for the service or procedure. If modifiers are missing or not used correctly, claims are quickly denied or rejected by insurance payers. Healthcare practices will suffer from aged accounts, write-offs and revenue leakage if they do not have a firm grasp on the proper use of modifiers.
Proper use of code modifiers is essential for accurate medical billing. Omitting or using the wrong modifiers can lead to claims being denied, which can result in lost revenue for providers. Here are three general tips to follow in order to use code modifiers correctly:
Again, these are just a few of the many code modifiers that can be used. It is important to consult with a medical coding professional to determine the correct modifier for a particular healthcare service. They can help ensure that practice's are using the correct modifier and that medical claims are processed correctly.
RevUp Billing provides experienced and professional revenue cycle management services for healthcare professionals. Our other services include insurance credentialing as well as billing/software services for I-DD provider agencies.
If you have additional questions about medical billing best practices and the use of code modifiers - contact us.
Updated from original article published on June 19, 2018
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