Category: Medical Billing

RARCs

A Complete Guide to Remittance Advice Remark Codes (RARCs) in Medical Billing

Medical billing is complex since there are a number of codes, rules, and messages that healthcare providers and payers have to follow.   This technique is very crucial to use Remittance Advice Remark Codes (RARCs).   Healthcare workers need to know how to utilize RARCs to bill appropriately, be paid on schedule, and keep track of their […]
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heart disease

Heart Disease Billing Cheat Sheet: ICD-10, CPT Codes, Modifiers & Documentation Tips

Heart disease is still one of the most common conditions treated in the U.S., with thousands of diagnostic tests, interventional procedures, and follow-up visits happening every day.  Accurate cardiac medical billing is very important for healthcare providers. It helps them get paid correctly and avoid claim denials, compliance risks, and lost revenue. We help cardiology […]
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modifiers for accurate medical billing

Guide to Medical Procedure Modifiers for Accurate Billing and Reimbursement

Procedure modifiers play a crucial role in medical billing by providing additional information about performed services. Accurate use of these modifiers ensures appropriate reimbursement, reduces claim denials, and maintains compliance with payer policies. This blog breaks down key procedure modifiers, their appropriate usage, common pitfalls, and best practices for medical billers. Modifier 59 – Distinct […]
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Modifier FQ

FQ – Audio-Only Telehealth Modifiers: Accurate Billing & Compliance with Allzone

In today’s rapidly evolving healthcare ecosystem, telehealth continues to play a transformative role in making care more accessible, convenient, and patient-centered. While video-based telemedicine became the standard during the COVID-19 pandemic, audio-only telehealth services emerged as a crucial alternative for patients without access to smartphones, stable internet, or devices capable of video connectivity. To support […]
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Medical Billing Claim Forms Guide

Medical Billing Claim Forms Guide for Clean Claims

Accurate medical billing begins with one essential step: completing the correct medical billing claim form. These forms are the backbone of the reimbursement process, helping practices capture the full value of the services they provide. Whether you are a healthcare provider or a medical billing company, understanding claim forms—how they work, why they matter, and […]
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Modifier 81

Modifier 81 Complete Guide: Accurate Usage for Assistant Surgeon Billing

Accurate modifier usage is one of the most important elements in achieving clean claim submissions and full reimbursement in surgical billing. Among the lesser-used but extremely important surgical modifiers is Modifier 81 – Minimum Assistant Surgeon. Many practices overlook or misuse this modifier, leading to preventable denials, delayed payments, and compliance issues. This comprehensive guide […]
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Telehealth Billing

Modifier GT: Complete Telehealth Billing Guide to Boosts Accuracy

Telehealth has transformed modern healthcare delivery, offering patients convenient access to care while helping providers expand their reach beyond physical clinic walls. As virtual visits grow, correct medical billing becomes more important than ever—especially when it comes to using telehealth-specific modifiers like Modifier GT. For healthcare organizations, an incorrect modifier can quickly lead to claim […]
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EDI rejections in medical billing

Guide to Preventing and Resolving EDI Rejections in Medical Billing

Electronic Data Interchange (EDI) rejections are one of the biggest obstacles in the medical revenue cycle process. They prevent claims from reaching the payer’s adjudication system, leading to costly rework, delayed reimbursements, and longer accounts receivable (AR) days. This guide explores the most frequent types of EDI rejections, their root causes, how to interpret EDI […]
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CPT Modifier 99-medical billing

CPT Modifier 99: Comprehensive Guide to Multiple Modifiers in Medical Billing

Key Takeaways CPT Modifier 99 signals that multiple modifiers apply to a single service. Always list Modifier 99 first, followed by others in documentation. Use it only when two or more modifiers are needed to accurately describe the procedure. Check payer rules before applying Modifier 99—some systems allow multiple modifiers without it. Partnering with experts […]
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