Modifier 25 vs 59: What’s the Difference If you’ve ever been unsure about when to use Modifier 25 or Modifier 59 in your medical billing, you’re not alone.  These two CPT modifiers are often misunderstood, but getting them right is critical.  Using the wrong one can lead to denied claims, lost revenue, or even audit […]

Billing: Where Revenue Dreams Live or Die Let’s be honest: billing isn’t sexy. But if you want your practice to run like a Swiss watch — predictable, efficient, and profitable — your billing office better run tighter than TSA security. At Auctus, we see it every day: practices leaving six figures on the table because […]

Train for Transparent Pricing: Techniques That Actually Work Let’s be brutally honest… If your staff still answers pricing questions with a shrug and a prayer, your “transparency” is just fancy smoke and mirrors. Patients aren’t here for the mystery novel – they want a clear answer, not a billing scavenger hunt. Transparent pricing isn’t optional […]

Medical Billing Transparency: 3 Tools That Don’t Suck Let’s address the giant, overpriced elephant in the waiting room: medical billing is still a hot mess. Patients are confused. Providers are over it. And staff? They’re playing daily roulette with CPT codes and praying the insurance gods show mercy. But plot twist: it doesn’t have to […]

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 […]

So you’re a plastic surgeon or dermatologist, and you’re ready to take the next big step in your career. You’ve got some experience under your belt and you’re pretty good at what you do, so the next logical step is starting your own practice. (I mean, who doesn’t want to be their own boss?) You’ve […]

Our very own @KarenCorso wrote up a nice little cheat sheet we wanted to share. Here’s the long and the short of it…you can make some money without changing your clinical workflow if you do this the right way! The top 10 Tips/Requirements for billing without an MD present… PREAMBLE: Sure, you can monetize your […]

THE ANSWER: How many patients who come to you for a “septoplasty” have zero desire for a positive aesthetic outcome?  Like they care 0% about how they look after surgery and are seeing you solely because their deviated septum has robbed them of their ability to breathe?   None.  They might say they don’t care, but […]

Rumored to be in existence, thought not to be…rare as the Tasmanian Tiger…the mythical Medicare Authorization does indeed exist. Worse yet, you need to know how to handle it, even though it technically is not a requirement for professional service providers (AKA Docs). So…what are we talking about here? As of 2020 Medicare started requiring […]

Search engines handle approximately 2.45 million searches for health-related topics, and over 100,000 searches for “plastic surgery” every month. Just think about what the right search engine optimization (SEO) strategy can do for  your plastic surgery practice. SEO is using a set of practices to improve the positioning and appearance of your web pages. It […]