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Why CPT Modifiers Matter in Global Surgery

Why CPT Modifiers Matter in Global Surgery

by Loralee Kapp | Posted: Jun 17, 2025 | Medical Billing, Medical Coding

Surgeons are no strangers to the complexities of billing, but one small detail that can make a big difference in reimbursement is the correct use of CPT modifiers for global surgery. If you’ve ever wondered why a claim was reduced or denied despite providing...
Maximizing Reimbursements: Understanding the Impact of Payer Contracts

Maximizing Reimbursements: Understanding the Impact of Payer Contracts

by Loralee Kapp | Posted: Jun 10, 2025 | Medical Billing

Thoroughly understanding payer contracts is essential for avoiding claim denials, ensuring proper reimbursement, and maintaining a smooth patient experience. Imagine this scenario: A cardiology practice treats a long-time patient for a routine follow-up and diagnostic...
4 Things to Know about Medical Practice Management

4 Things to Know about Medical Practice Management

by Julie Clements | Posted: Nov 13, 2023 | Insurance Verification and Authorizations, Medical Billing, Medical Coding

A successful medical practice has strong foundations in business and non-clinical functions. If you are struggling to manage your billing, appointment scheduling, human resources, and other administrative functions, revamping your practice management could be the...
Medical Coding for Irritable Bowel Syndrome

Medical Coding for Irritable Bowel Syndrome

by Natalie Tornese | Posted: Sep 19, 2023 | Specialty Practices

Irritable Bowel Syndrome (IBS) is a gastrointestinal disorder that affects millions of individuals worldwide. For healthcare professionals, accurately coding IBS-related diagnoses and treatments is essential for effective patient care, billing accuracy, and compliance...
Navigating the Complexities of HCC Coding: Best Practices for Healthcare Providers

Navigating the Complexities of HCC Coding: Best Practices for Healthcare Providers

by Natalie Tornese | Posted: Aug 9, 2023 | Specialty Practices

The traditional fee-for-service healthcare model reimburses providers based on the number of services they render, regardless of patient outcomes. On the other hand, in value-based healthcare, payment is determined by the complexity of the patient population that each...
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