Download Support Tools Doctors communicate their clinical procedures, services, and dispensing DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics and Supplies) through CPT and HCPCS II coding to third party payers, and for in house billing. There are times when claims get denied because the payer needed additional detail attached to a CPT or HCPCS II code,…
Commonly Used Modifiers Quick Reference
Download Support Tools Doctors communicate their clinical procedures, services, and dispensing DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics and Supplies) through CPT and HCPCS II coding to third party payers, and for in house billing. There are times when claims get denied because the payer needed additional detail attached to a CPT or HCPCS II code,…
Medicare Modifiers Make All the Difference
Medicare modifiers are possibly the most important component in accurate Medicare billing. Understanding and using the right modifier for each situation will reduce delays in payments and lower the number of denied claims. Modifiers provide context for the story of the patient’s experience in the office and clarify important payment considerations necessary for processing. These…