By Lisa Eramo – When used appropriately, coding modifiers help practices code appropriately and collect revenue to which they’re entitled. The key here is “when used appropriately.” In this article, Clements addresses three of the most problematic modifiers in physician practices and provides tips for compliance.
By Lisa Eramo – These days, all medical specialties are vulnerable to payer audits and denials. However, providers who offer mental health services are particularly at risk because insurers have begun to focus not only on coding accuracy but also on the frequency and duration of services rendered.
By Lisa Eramo – When was the last time you examined your net collection rate as part of a ‘financial health and wellness’ checkup? Monitoring this rate has always been important; however, it is absolutely critical in the current healthcare environment.
By Lisa Eramo – When it comes to denials, physicians may feel as though insurance carriers have always have the upper hand. But this long-held belief isn’t true—especially when the claims in dispute are subject to the Employee Retirement Income Security Act (ERISA) of 1974.
By Lisa Eramo – By now, you may have chosen one or more New Year’s Resolutions. However, if you do your billing in house, is hiring a certified medical coder one of them? If not, there are several reasons why it should be.
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