If you’re a healthcare provider or facility dealing with Medicare, one thing is certain – getting properly reimbursed is a maze filled with complex rules, convoluted paperwork, and often, sheer frustration. Medicare reimbursement is the lifeblood that keeps many healthcare operations afloat, but navigating its serpentine pathways can feel like a daily battle. Buckle up […]
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Posts tagged "CMS"
The Need for Transparency in Medical Billing
If you’ve ever received a medical bill, chances are you were confused, frustrated, or both. The bills are often filled with inscrutable codes, massive dollar amounts that seem to make no sense, and a complete lack of clarity around what you’re actually being charged. It’s a systemic problem in the US healthcare industry that leads […]
American Hospital Association, billing, Billing Systemic Reform, Billing Transparency, CMS, healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Medical Billing Transparency, No Surprises Act, Revenue Cycle, Revenue Cycle Management10 Medical Coding Mistakes That Could Cost You
Medical coding is a complex and detail-oriented job. Even experienced coders can make mistakes that lead to costly errors and compliance issues. Avoiding common coding mistakes is crucial for accurate reimbursement, proper record-keeping, and avoiding penalties. Medical coding is highly intricate, yet accuracy is critical for proper reimbursement, compliance, and data reporting. Even minor coding […]
(not otherwise specified) codes, AHIMA, AMA, CMS, Coding, Coding Errors, Common Coding Errors, E/M coding, ICD diagnosis code, Incorrect E/M, medical coding, Medical coding quality, National Correct Coding Initiatives, NCCI Edits, NOS codes, POA indicators, UnbundlingNew Medicare Modifiers XE, XP, XS, XU: Examples of When to Bill Each One
Effective January 1, 2022, the Centers for Medicare & Medicaid Services (CMS) introduced four new HCPCS modifiers for Medicare claims: XE, XP, XS, and XU. These modifiers provide more specificity around the circumstances of service provided. Using these new modifiers correctly is essential for ensuring accurate reimbursement. This article provides an overview of modifiers XE, […]
CMS, HCPCS, Medicare Modifiers, Modifier XE, Modifier XP, Modifier XS, Modifier Xu, XE, XE: Separate encounter, XP, XP: Separate practitioner, XS, XS: Separate structure, XU, XU: Unusual non-overlapping service