April 1, 2024

Modifier 22: What You Need To Know

Modifier 22: What You Need To Know Modifier 22 is designated for services that require a considerably higher level of effort than normal. This could mean the particular service involves an increased duration, technicality, complexity, patient condition severity, physical and mental effort, or a different factor is beyond what is usually necessary for the given […]

March 25, 2024

CPT Code 99205: Optimizing Your Practice’s Billing in 2024

CPT Code 99205: Optimizing Your Practice’s Billing in 2024 CPT code 99205 is used for new patient or outpatient visits that require a high complexity of medical decision-making and/or 60+ minutes of encounter time, providing clinics with a higher reimbursement rate than lower-level codes such as CPT code 99204. We’ll check out everything you need […]

March 18, 2024

CPT Code 99204: What You Need To Know In 2024

CPT Code 99204: What You Need To Know In 2024 Today we’ll show you exactly what CPT code 99204 is, when to use it, and why you should use it. In turn, you can take better care of your patients and put more money in your pocket for doing the exact same amount of work […]

March 14, 2024

Navigating Skin Check ICD-10 Codes

Navigating Skin Check ICD-10 Codes ICD-10 coding for skin checks can be a hassle, but accurate billing and coding is an essential part for both your reimbursement and patient care management – which all needs to be done in compliance with healthcare regulations. Sounds like a headache? Let’s check out how to navigate the tricky […]

March 13, 2024

CPT Code 99214: Don’t Miss Out On Getting Paid In 2024

CPT Code 99214: Don’t Miss Out On Getting Paid In 2024 A CPT code 99214 is indicated for an “office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making.” Basically, it’s an important CPT code for […]

December 21, 2022
by Admin

OPTING OUT OF MEDICARE – WHAT DO I NEED TO KNOW?

OPTING OUT OF MEDICARE – WHAT DO I NEED TO KNOW? All Medicare beneficiaries have the right to choose their own doctors and other healthcare providers. But if you are a physician who has opted out of the Medicare program, there are a few things you should know. First of all, what does it mean to opt […]

December 13, 2022
by Admin

Top 5 Things a Breast Reconstruction Patient Should Know/Do About Their Insurance  Coverage:

1. Women’s Health Rights and Cancer Act – you are protected folks.  This is a Federal Mandate.  So all the games insurance companies play hold even less water here.  You are protected for reconstruction (or not) at ALL STAGES including the contralateral breast.  The language of the mandate doesn’t answer every question or address every […]

November 18, 2022
by Admin

CLIENT QUESTION – HOW TO PROTECT AGAINST POST OP PATIENT INSURANCE CLAIMS

THE QUESTION: THE PATIENT HAD TOLD ME THEY’RE OK MOVING FORWARD COSMETIC AND HAVE NOW BILLED THE INSURANCE COMPANY ON THE BACKEND, FORCING US INTO THE BILLING PROCESS. ANY WAY TO AVOID THIS IN FUTURE? We were asked a really good question about insulating against patients submitting self-pay cases to their insurance after the fact- […]

October 31, 2022
by Admin

CLIENT QUESTION: WORKMAN’S COMP – WILL I BE COMPENSATED?

THE QUESTION: I HAVE A PATIENT IN NEED OF SURGERY WITH WORKMAN’S COMP COVERAGE (WC). WILL I GET COMPENSATED FOR THIS? SHOULD I CONTINUE TO TAKE WC? THE ANSWER Will you be compensated? The short answer is yes. WC is not a network-based coverage plan.  So long as they has a claim number from her […]

September 9, 2022
by Admin

WHICH PLASTIC SURGERY PROCEDURES ACTUALLY PAY (THROUGH INSURANCE)?

WHICH PLASTIC SURGERY PROCEDURES ACTUALLY PAY (THROUGH INSURANCE)? As a plastic surgeon, it’s likely that you got into this field because you like to help people.  But, realistically, you can’t help every person that walks through your doors and still keep the lights on. To run a successful practice, you have to keep an eye […]

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