Medical Billing and Coding Services

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Modifier 50 Fact Sheet

https://www.medicalbillersandcoders.com

Bilateral procedures should be reported as a single unit on two separate lines or a single unit with “2” in the unit field on one line, in order for both procedures to be paid correctly. The multiple procedure reduction of 50 percent will apply to all bilateral procedures subject to multiple procedures discounting.

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Moderate (Conscious) Sedation Coding Guidelines

https://www.medicalbillersandcoders.com

Moderate sedation are services provided by the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports. They require the presence of an independent trained observer to assist in the monitoring of the patient’s level of consciousness and physiological status.

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Medical Billing for Therapeutic Shoes for Individuals with Diabetes

https://www.medicalbillersandcoders.com

Therapeutic shoes for diabetics are not DME and are not considered DME nor orthotics, but a separate category of coverage under Medicare Part B.

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Importance of Medical Audit

https://www.medicalbillersandcoders.com

The medical audit is the systematic, critical analysis of the quality of medical care, including the procedures used for diagnosis and treatment, the use of resources, and the resulting outcome and quality of life for the patient.

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Changes in RT and LT Modifier Usage

https://www.medicalbillersandcoders.com

Several DME MAC LCD-related Policy Articles require the use of the RT and LT modifiers for certain HCPCS codes.

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Basic Guidelines for Inhalation Treatment Billing

https://www.medicalbillersandcoders.com

There are many services and products that may be billed when a patient presents with chronic asthma or other serious respiratory conditions or acute exacerbation of related symptoms. 

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Basic Guidelines for Billing Nebulizers

https://www.medicalbillersandcoders.com

Nebulizers can be covered if the member’s ability to breathe is severely impaired. Lung diseases such as chronic obstructive pulmonary disease (COPD) and asthma are characterized by airflow limitation that may be partially or completely reversible.

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5 Strategies for Protecting Your Medical Practice Reputation Online

https://www.medicalbillersandcoders.com

Reputation management has never been more important for medical professionals. All the rules of a doctor’s pre-Internet reputation apply, and there are some new things to think about, too.

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Medicare Advance Beneficiary Notice – 5 Tips for Reimbursement

https://www.medicalbillersandcoders.com

An Advance Beneficiary Notice (ABN) is a waiver of responsibility that is issued to a patient to make sure you receive payment for services and items that are usually covered by Medicare but are not expected to be covered on this occasion.

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Relieving Regulatory Burdens on Small Practices and Solo Providers

https://www.medicalbillersandcoders.com

Regulatory burdens on small practices and solo providers have never been greater, including MIPS/MACRA, HIPAA, patient-centric engagement, as well as the need to comply with fee-for-service and value-based care contract requirements.

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