Surgical Billing Services: The Role Of Modifiers

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Surgical Billing Services The Role Of
Modifiers
Medical billing modifiers are commonly misused in
different medical practices, including the
providers of surgeries. Did you realize you could
be required to repay money paid to you by
insurance or third-party payers if you misused a
modifier? When you misuse a service surgical
billing modifier on a claim, it can be a costly
mistake. Thats why it is essential to understand
the basics of using modifiers to maximize
reimbursement while avoiding claim denials and
possible audits.
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An Overview of Modifiers in Surgical Billing
Services
As per AMA and the CMS, a modifier is a means of
reporting or indicating that a service or process
has been done and altered by some specific
situation but has not changed in definition.  It
may also provide additional information about
services done more than once or services that
have occurred unusually. When not all of the
services in a bundle are done, modifiers can be
used to indicate this. Types of Modifiers Level
I Modifiers Level I modifiers, or CPT Modifiers,
are two numeric digits copyrighted and updated
yearly by the American Medical Association
(AMA). Level II Modifiers Level II or HCPCS
modifiers can be composed of Alphabets or
Alphanumeric characters. The Centre for Medicare
Medicaid Services copyrights and updates these
modifiers.
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Role of Modifiers

• Modifiers come into the picture by giving
  detailed information that is standardized and
  efficient. Lets see what purpose modifiers serve
  in surgical billing
• Modifiers, which serve as informational or
  billing clarification, eliminate the need for a
  procedure listing or separate service.
• The use of inaccurate modifiers or the incorrect
  use of modifiers is deemed fraudulent and in
  violation of the laws.
• This would result in additional audits and income
  loss in the future. As a result, familiarity with
  the modifications list is critical.
• To discover correct modifiers for surgical
  billing services, healthcare professionals and
  medical billing companies can consult the
  modifiers guide.

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Outsource Surgical Billing Services

• Insurance payers may deny or reject claims if
  modifiers are missing or improperly used. Also,
  surgeons need a strong foundation on the use of
  modifiers to avoid aged accounts, write-offs, and
  revenue leakage. This called for surgical billing
  outsourcing to the team of professionals and
  experienced billers and coders.
• Our team of surgical billers and coders at 24/7
  Medical Billing Services has been trained and
  understands the use of modifiers.  Each month, we
  conduct an exercise to grasp the reasons for each
  claim denial and mark the claims denied for
  coding issues for further investigation.  We
  strive to handle coding denials iteratively and
  in a structured way. This means that only a few
  claims are denied due to coding problems, such as
  incorrect or non-use of modifiers. As a result,
  our healthcare professionals benefit from lower
  denial rates, better collections, and faster cash
  flow.

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About Us
We are a medical billing company that offers
24/7 Medical Billing Services and support
physicians, hospitals, medical institutions and
group practices with our end to end medical
billing solutions. We help you earn more revenue
with our quick and affordable services. Our
customized Revenue Cycle Management (RCM)
solutions allow physicians to attract additional
revenue and reduce administrative burden or
losses.
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Media Contact
24/7 Medical Billing Services 28405 Osborn Road,
Cleveland, OH 44140 2028 E Ben White Blvd,
240-1030 Austin TX, 78741 Phone no 1
888-502-0537 Email us
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