Posts Categorized: Medical Billing & Coding

Modifier Rule Education

As anyone in the coding world knows, modifiers are a critical component for accurate billing and maximum reimbursement. The notorious complexity of modifier rules creates considerable lag when it comes to the forms review and editing process. The questions below highlight key factors that must be taken into account when applying modifiers to procedures. 

Drug Reporting in 5010 Transaction Set

The new 5010 claim standard is driving new requirements in drug reporting, specifically for drug quantity and the unit of measure.

Medical Coding Today

Accurate medical coding is essential to getting paid, regardless of the method used by the physician for capturing the charge data (e.g., paper encounter forms, electronic medical record). Strictly entering the correct codes for a procedure or diagnosis is never enough. After a physician finishes documenting a patient encounter, the claim is sent to the…