What is ERA in Medical Billing?

What is ERA in Medical Billing?

Medical billing is a complex process that involves many phases and managing it efficiently for proper claim submission and appropriate reimbursement from insurance companies. That’s why most hospitals and practices outsource medical billing and coding to an...
Understanding MPPR and Modifier 51 Use

Understanding MPPR and Modifier 51 Use

As surgical and medical services often include pre-procedure and post-procedure work, healthcare providers may perform multiple procedures during a single patient encounter. Multiple Procedure Payment Reduction (MPPR) means that multiple procedures performed by the...
Coding and Billing Telepsychiatry Encounters

Coding and Billing Telepsychiatry Encounters

With telehealth’s expansion during the COVID-19 pandemic to avoid the need to travel or congregate, CMS covers more than 80 additional services. Under the 2020 CARES Act signed into law on March 6, 2020, geographic and originating site Medicare telehealth...