Tag: Medicare Billing

Neurology HCPCS codes cheat sheet

Neurology HCPCS Codes Cheat Sheet: A Complete Guide by Allzone

Neurology practices face some of the most complex billing challenges in healthcare. From high-cost injectable drugs and neurostimulator devices to DME, infusion services, and Medicare-specific requirements, accurate HCPCS coding is critical for clean claims and timely reimbursement. Even a minor coding error can trigger denials, audits, or delayed payments. This Neurology HCPCS Codes Cheat Sheet […]
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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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Modifiers 80, 81, 82, and AS

Modifier 80, 81, 82, AS – Description, Examples, & Usage Guidelines

Medical billing and coding is a critical part of healthcare revenue cycle management (RCM), ensuring providers are reimbursed accurately for their services. Among the many modifiers used in coding, Modifiers 80, 81, 82, and AS are essential in defining the role of assistant surgeons during procedures. Correct usage of these modifiers can prevent claim denials, […]
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HCPCS G-Codes

AUC Program & HCPCS G-Codes: Ensuring Compliance in Medicare Billing

The Centers for Medicare & Medicaid Services (CMS) initiated the educational and operations testing phase of the Appropriate Use Criteria (AUC) program. During this period, Medicare Administrative Contractors (MACs) began accepting AUC-related modifiers and HCPCS G-Codes on claims for advanced diagnostic imaging services provided to Medicare Part B patients. Understanding AUC Program Requirements Under the […]
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HCPCS codes G9037 and G9038

New MCP Model HCPCS Codes G9037 & G9038

Clinicians participating in the Making Care Primary (MCP) model now have access to two new HCPCS Level II codes, HCPCS Codes G9037 and G9038, introduced in fiscal year (FY) 2024. These codes expand the scope of interprofessional consultation services, allowing primary care providers (PCPs) to bill for time spent collaborating with specialists. The MCP Model: […]
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CAR-T therapy coding

A Deep Dive into CAR-T Therapy Coding and Billing for Medicare

Stay updated with the latest guidelines for reporting products and procedures related to Chimeric Antigen Receptor (CAR) T-cell therapy to ensure accurate CAR-T therapy coding and billing for Medicare patients. Overview of CAR-T Therapy CAR-T is a cutting-edge cell-based gene therapy that modifies a patient’s own T lymphocytes (T-cells) in a lab to express chimeric […]
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Future of Medicare Telehealth is Bright and Innovative

Future of Medicare Telehealth is Bright and Innovative

Medicare, the federal health insurance program for people aged 65 and older, has been at the forefront of healthcare innovation. In recent years, telehealth has emerged as a powerful tool, transforming the way healthcare services are delivered. As technology continues to advance, the future of Medicare telehealth looks increasingly promising. Telehealth: A Brief Overview Telehealth, […]
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October 2024 HCPCS Level II Code Updates

October 2024 HCPCS Level II Code Updates

Discover the October HCPCS Level II Code Set Update: October 2024 HCPCS Level II code set will receive a quarterly update, introducing 32 new drug and biological codes. Additionally, five codes will be deleted, and five others will undergo revisions. Let’s explore what’s in store. New HCPCS Level II Codes The Centers for Medicare & […]
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