Category: Medical Billing

Modifier 78 vs. Modifier 79

Modifier 78 vs. Modifier 79: A Comprehensive Guide to Surgical Procedure Modifiers

Healthcare billing can be complex, and using the correct modifiers is crucial for accurate claims and timely reimbursement. Surgical procedures often require specific modifiers to tell a complete story about the services provided. Two modifiers that frequently cause confusion are Modifier 78 and Modifier 79. While both are related to surgical procedures, they describe very […]
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AR Recovery in Medical Billing

AR Recovery in Medical Billing | Maximize Collections with Allzone

In today’s dynamic healthcare environment, managing accounts receivable (AR) is more than just a financial function—it’s a critical component of sustaining a profitable and compliant medical practice. Delays in reimbursements, claim denials, and inefficient billing processes can drain resources and hinder growth. That’s where AR recovery in medical billing plays a vital role. At Allzone […]
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UB-04 Claim Form

Understanding the UB-04 Claim Form (CMS-1450) in Medical Billing

In the complex world of medical billing, accurate documentation is essential for timely reimbursements and claim acceptance. One of the most critical tools in hospital and institutional billing is the UB-04 claim form, also known as the CMS-1450. Whether you’re a healthcare provider, billing professional, or medical coder, understanding this form is crucial for ensuring […]
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denial avoidance

Denials Management vs. Denials Avoidance: Key Differences & Best Practices

In today’s healthcare landscape, denied insurance claims can seriously impact a provider’s financial health and operational efficiency. To address this, denial management services and denial avoidance programs have emerged as industry essentials. This post explores the differences between these two strategies, compares their respective best practices, and highlights why working with a leading denial management […]
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Endoscopy billing

Don’t Make These Mistakes When Billing for Endoscopy Services

In the complex world of medical billing, few specialties present as many coding challenges as gastroenterology. Endoscopy billing—covering a wide range of procedures from colonoscopies to upper GI endoscopies—is a cornerstone of diagnostic and therapeutic care. However, the intricate rules governing their billing can be a minefield for healthcare providers and billing professionals. A single […]
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Medical billing compliance

How Medical Billing Compliance Can Protect Your Medical Practice

In today’s evolving healthcare environment, medical billing compliance is more than just a legal requirement—it’s a strategic safeguard for your medical practice. As regulations tighten and audits become more frequent, staying compliant with medical billing standards helps protect your practice from costly fines, revenue losses, and reputational damage. What Is Medical Billing Compliance? Medical billing […]
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Telehealth Billing Rules

Top Ten Telehealth Billing Rules for Fee-For-Service (FFS)

Telehealth has become an indispensable part of modern healthcare, offering convenience and accessibility to patients and providers alike. For practices operating under a Fee-For-Service (FFS) model, navigating the complexities of telehealth billing is crucial for financial stability and accurate reimbursement. While the landscape is constantly evolving, especially with extensions of pandemic-era flexibilities, understanding the core […]
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