2. Medical billing modifiers are commonly misused in different medical
practices, including the providers of surgeries. Did you realize you could
be required to repay money paid to you by insurance or third-party
payers if you misused a modifier?
When you misuse a service surgical billing modifier on a claim, it can be
a costly mistake. That’s why it is essential to understand the basics of
using modifiers to maximize reimbursement while avoiding claim
denials and possible audits.
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3. An Overview of Modifiers in Surgical Billing Services
As per AMA and the CMS, a modifier is a means of reporting or
indicating that a service or process has been done and altered by some
specific situation but has not changed in definition. It may also provide
additional information about services done more than once or services
that have occurred unusually. When not all of the services in a bundle
are done, modifiers can be used to indicate this.
Types of Modifiers
Level I Modifiers: Level I modifiers, or CPT Modifiers, are two numeric
digits copyrighted and updated yearly by the American Medical
Association (AMA).
Level II Modifiers: Level II or HCPCS modifiers can be composed of
Alphabets or Alphanumeric characters. The Centre for Medicare &
Medicaid Services copyrights and updates these modifiers.
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4. Role of Modifiers
Modifiers come into the picture by giving detailed information that is
standardized and efficient. Let’s see what purpose modifiers serve in
surgical billing:
•Modifiers, which serve as informational or billing clarification, eliminate
the need for a procedure listing or separate service.
•The use of inaccurate modifiers or the incorrect use of modifiers is
deemed fraudulent and in violation of the laws.
•This would result in additional audits and income loss in the future. As
a result, familiarity with the modifications list is critical.
•To discover correct modifiers for surgical billing services, healthcare
professionals and medical billing companies can consult the modifiers
guide.
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5. Outsource Surgical Billing Services
Insurance payers may deny or reject claims if modifiers are missing or
improperly used. Also, surgeons need a strong foundation on the use of
modifiers to avoid aged accounts, write-offs, and revenue leakage. This
called for surgical billing outsourcing to the team of professionals and
experienced billers and coders.
Our team of surgical billers and coders at 24/7 Medical Billing Services
has been trained and understands the use of modifiers. Each month, we
conduct an exercise to grasp the reasons for each claim denial and mark
the claims denied for coding issues for further investigation. We strive
to handle coding denials iteratively and in a structured way. This means
that only a few claims are denied due to coding problems, such as
incorrect or non-use of modifiers. As a result, our healthcare
professionals benefit from lower denial rates, better collections, and
faster cash flow.
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6. About Us
HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/
We are a medical billing company that offers ‘24/7 Medical Billing
Services’ and support physicians, hospitals, medical institutions and
group practices with our end to end medical billing solutions. We help
you earn more revenue with our quick and affordable services. Our
customized Revenue Cycle Management (RCM) solutions allow
physicians to attract additional revenue and reduce administrative
burden or losses.
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7. Media Contact
HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/
24/7 Medical Billing Services
28405 Osborn Road, Cleveland, OH 44140
2028 E Ben White Blvd, 240-1030 Austin TX, 78741
Phone no : +1 888-502-0537
Email us: info@247medicalbillingservices.com
INFO@247MEDICALBILLINGSERVICES.COM
