Billing & Credentialing Cranberry Twp. (Pittsburgh)
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  • Modifier Codes

Modifier Codes

Common Urgent Care Modifiers

April 1, 2025 / admin / Articles, Modifier 25, Modifier 59, Modifier 76, Modifier 77, Modifier 99, Modifier AQ, Modifier Codes, Modifier CR, Modifier CS, Modifier GP, Modifier GQ, Modifier GT, Modifier XE, Modifier XP, Modifier XS, Modifier XU, X Modifiers, X{EPSU} Modifiers
Urgent Care Modifiers

Urgent care facilities play a vital role in the healthcare ecosystem, providing convenient access to medical care for non-life-threatening conditions. To ensure proper reimbursement for services provided in urgent care settings, it’s essential to use appropriate modifiers on claims. We list the most common modifiers used in urgent care billing and provide guidelines for their […]

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Modifier 25, Modifier 59, Modifier 76, Modifier 77, Modifier 99, Modifier AQ, Modifier Codes, Modifier CR, Modifier CS, Modifier GP, Modifier GQ, Modifier GT, Modifier XE, Modifier XP, Modifier XS, Modifier Xu, X Modifiers, X{EPSU} Modifiers

Common Skilled Nursing Facility (SNF) Modifiers

August 21, 2024 / admin / Articles, Modifier 25, Modifier 59, Modifier 76, Modifier 77, Modifier Code, Modifier Codes, Modifier EY, Modifier FX, Modifier GG, Modifier GO, Modifier GP, Modifier KX, Modifier LT, Modifier RT, Modifiers, Skilled Nursing, Skilled Nursing Billing, Skilled Nursing Facility, Skilled Nursing Modifiers, SNF Modifiers

Skilled Nursing Facilities (SNFs) play a critical role in providing comprehensive post-acute care. Accurate medical billing and coding for SNF services is essential not only for appropriate reimbursement but also for maintaining compliance with regulatory requirements. One key component of this process is the proper use of modifiers. These two-character codes provide additional details about […]

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Modifier 25, Modifier 59, Modifier 76, Modifier 77, Modifier Code, Modifier Codes, Modifier EY, Modifier FX, Modifier GG, Modifier GO, Modifier GP, Modifier KX, Modifier LT, Modifier RT, Modifiers, skilled nursing, skilled nursing billing, skilled nursing facility, Skilled Nursing Modifiers, SNF Modifiers

Common Behavioral Health Modifiers

August 19, 2024 / admin / Articles, Behavioral Health, Behavioral Health Billing, Modifier 25, Modifier 59, Modifier 95, Modifier AF, Modifier AH, Modifier AJ, Modifier Code, Modifier Codes, Modifier HE, Modifier HF, Modifier HN, Modifier HO, Modifier HP, Modifier HS, Modifier TD
Behavioral Health Modifiers

Behavioral health presents unique challenges and opportunities. One of the key elements in ensuring accurate billing and appropriate reimbursement is the proper use of modifiers. These two-character codes provide additional information about the services rendered, helping to paint a complete picture of the care provided. In behavioral health, where treatment often involves multiple providers, various […]

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Behavioral Health, Behavioral Health Billing, billing, Medical Billing, Modifier 25, Modifier 59, Modifier 95, Modifier AF, Modifier AH, Modifier AJ, Modifier Code, Modifier Codes, Modifier HE, Modifier HF, Modifier HN, Modifier HO, Modifier HP, Modifier HS, Modifier TD, Revenue Cycle Management

Medicare Modifier XU and How To Use It

August 15, 2024 / admin / Articles, CMS, Coding, Coding and Billing, Coding and Documentation, Medicare, Medicare Modifier XU, Medicare Modifiers, Modifier Code, Modifier Codes, Modifier XU, Modifiers, X{EPSU}, X{EPSU} Modifiers, XE, XP, XS, XU
Modifier XU

Navigating the medical billing and coding landscape demands meticulous attention to detail, as precision and accuracy play pivotal roles in securing appropriate reimbursement and upholding regulatory compliance. Among the various tools at a coder’s disposal, modifiers play a crucial role in accurately describing the circumstances under which services are provided. Medicare Modifier XU, in particular, […]

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Biling Codes, CMS, Coding, coding and billing, Coding Intricacies, medicare, Medicare Modifier XU, Medicare Modifiers, Modifier Xu, X{EPSU}, X{EPSU} Modifiers, XE, XP, XS, XU

Navigating the Complexities of Behavioral Health Billing

May 31, 2024 / admin / Articles, Behavioral Health, Behavioral Health Billing, Billing, Billing Best Practice, Billing Challenges, Billing Codes, Coding, Coding and Billing, Modifier Codes, Modifiers, Pre-Authorization, Preauthorization
Behavioral Health Billing

Let’s be real, billing and claims processing is probably not what got you into the behavioral health field in the first place. You were driven by a passion to help people overcome mental health challenges, develop positive coping strategies, and improve their overall well-being. But as much as we might wish it were different, managing […]

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Behavioral Health, Behavioral Health Billing, billing, Billing Best Practice, Billing Challenges, Billing Codes, Coding, coding and billing, Modifier Codes, Modifiers, Pre-Authorization, Preauthorization

What are and When to Use Modifier Codes

February 10, 2024 / admin / Anatomic Modifiers, Articles, Bilateral Surgery Modifiers, CMS, Coding, CPT, CPT Codes, CPT Definitions, Global Surgery Modifiers, HCPCS Codes, Medical, Medical Billing, Medical Coding, Missing Modifiers, Modifier Codes, Modifiers, Procedure Modifiers
Medical Billing White Guy

Modifier codes are an important part of medical billing and coding. They provide additional information about a medical procedure or service to help ensure proper reimbursement. Knowing when to use modifier codes can improve claim accuracy and prevent costly payment delays or denials. We explain what modifier codes are, why they are used, the most […]

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Anatomic Modifiers, Bilateral Surgery Modifiers, billing, Coding, coding and billing, CPT, CPT definitions, CPT-10, Global Surgery Modifiers, HCPCS, healthcare, Healthcare Billing, Medical, Medical Billing, medical coding, medical necessity, NCCI, NCCI Edits, payer policies, Procedure Modifiers, Revenue Cycle, Revenue Cycle Management, revenue cycle optimization

The Essential Guide to Avoiding Improper Bundling in Medical Billing

February 6, 2024 / admin / Articles, Bundling, Component Codes, Improper Bundling, Medical Billing, Medically Unlikely Edits, Modifier Code, Modifier Codes, Modifiers, MUEs, National Correct Coding Initiative, NCCI, NCCI Edits, Proper Bundling, Unbundling
White Female Medical Billing Outsourced

Improper bundling in medical billing can lead to denied claims, payment delays, audits, fines, and even fraud allegations. As a medical billing professional, it’s crucial to understand how to bundle procedures correctly to ensure proper reimbursement while adhering to CMS guidelines. In this guide, we’ll cover everything you need to know about avoiding improper bundling […]

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Claim Denials, Component Codes, Comprehensive Code, CPT, CPT codes, denied claims, denied medical claims, HCPCS, Medically Unlikely Edits, Modifier Codes, MUEs, National Correct Coding Initiative, NCCI, NCCI Edits, Unbundling

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Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

Practices Served

  • Behavioral Health
  • Genetic Testing
  • Pharmacogenetic (PGx) Testing
  • Toxicology
  • COVID-19 Testing
  • Allergy Testing
  • Skilled Nursing Facilities
  • Urgent Care
  • Oncology
  • Pathology
  • OBGYN
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Speech Therapy
  • Substance Abuse
  • DME
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy

Recent Posts

  • Laboratory Billing

    Which CPT Codes are Used in Laboratory Billing?

  • Medical Credentialing Staff at a Hospital

    25 Stats Medical Credentialers Must Know

  • Older Female Doctor in need of Credentialing

    Credentialing Problems? We Can Fix Them!

  • Medical Credentialing State-by-State

    Multi-State Licensing in Provider Credentialing

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