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Modifier 22 – Unusual increased procedural services – tips and reimbursement guidelines

by Medical Billing | Mar 15, 2021 | Medicare payment basics

 MODIFIER 22-UNUSUAL PROCEDURAL SERVICES This modifier indicates that a procedure was complicated, complex, difficult, or took significantly more time than usually required by the provider to complete the procedure. Documentation should be in simple “layman...

Finger Modifier Guidelines and usage examples

by Medical Billing | Jun 11, 2020 | Medicare payment basics

A. Policy Aetna Better Health of Louisiana implements comprehensive and robust policies to ensure alignment with Louisiana Department of Health (LDH) and to warrant that regulatory standards are met. According to the AMA CPT Manual, the HCPCS Level II Manual and our...

AT modifier – Description – Use of the modifier in chiropractic billing

by Medical Billing | Aug 14, 2016 | Medicare payment basics

Modifier and DescriptionAT – Active TreatmentProvider Action NeededThe Active Treatment (AT) modifier was developed to clearly define the difference between active treatment and maintenance treatment. Medicare pays only for active/corrective treatment to...

Audiology billing Guide – CPT code list – payment guidelines

by Medical Billing | Aug 10, 2016 | Medicare payment basics

Policy Definition Audiology is the study of hearing and hearing disorders and includes habilitation and rehabilitation for individuals who have hearing loss Provider Billing Guidelines and Documentation Coding Code Description Comments 92550–92588 Audiometric...

Medicare Part B advance beneficiary notices AND ITS MODIFIER

by Lori | Oct 28, 2015 | Medicare payment basics

Medicare Part B allows coverage for services and items deemed medically reasonable and necessary for treatment and diagnosis of the patient. For some services, to ensure that payment is made only for medically necessary services or items, coverage may be limited based...
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CPT Codes, Descriptors, and other data only are copyright 1999 American Medical Association (or such other date of publication of CPT). All Rights Reserved to AMA.
The revenue codes and UB-04 codes are the IP of the American Hospital Association. All Rights Reserved to AMA.
All our content are education purpose only. All the articles are getting from various resources. If you find anything not as per policy. Please reach out and we would do the investigation and remove the article.
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