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Modifier 22 is used when the factors influencing how complicated a procedure was, are documented in detail. It is important to make sure this modifier is appropriately reported and that you have a thorough understanding of modifier 22 to ensure you’re getting the additional revenues you qualify for. Continue reading below for more information about…
DetailsAnyone who has been to the hospital knows there are always unexpected fees on the billing statement. At the beginning of next year, the Requirements Related to Surprise Billing, Part I is set to take effect. Continue reading below for more information. The Requirements Related to Surprise Billing; Part I, set to take effect on…
DetailsThe report below describes a patient undergoing implantation of prostate brachytherapy. The entire procedure has been documented in detail, describing the step-by-step process used by doctors to carry out the surgery. Keep reading for more on how this procedure was performed. Do you have a complicated surgery case that needs help with coding? RT Welter…
Details“Welcome to Medicare” visits service the needs of Medicare patients and help take preventive measures for patient care. Many beneficiaries do not take advantage of these services. Continue reading below for what practices should do to increase the use of these services. By Ginger Avery, CPC, CPMA, CRC July 6, 2021 Medicare Initial Preventive Physical…
DetailsRT Welter would like to wish everyone a Happy 4th of July! With lighter restrictions this year, we hope you are once again able to spend time with your families and friends! Please remember to have a safe but also fun and relaxing holiday. To follow medical precautions, don’t forget to wear sunscreen, stay hydrated…
DetailsOptimists often have many benefits such as being high achievers and generally, tend to be healthier. Embracing optimism can be challenging but with a few mental shifts, anyone can lead a more optimistic life. Continue reading below for some tips on embracing optimism. Now, more than ever, seems both a challenging and imperative time to…
DetailsModifier 25 is a significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service. Here is RT Welter’s guide to making sense of when and how to use it. Continue reading below to learn more! The HHS Office…
DetailsThe Supreme Court of the United States is upholding the Affordable Care Act (ACA) in its ruling for the California V. Texas Case. This case has been ongoing since December 2018 and is the 3rd major court case faced by the ACA. Continue reading below to learn more about the ruling and the case. The…
DetailsThe HHS Office of Inspector General (OIG) made a recent addition to their Work Plan which specifically cites dermatology as their primary area of focus in regard to use of modifier 25. The updated Work Plan indicates that on average, 60% of dermatologists submit claims for E/M services also include minor surgical procedures, a much…
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