Claim Archives - Wonder Worth Solutions

28 Feb 23

How To Use Modifier 25 Correctly

Introduction The OIG has identified the following trends in modifier 25 errors: Modifier 25 should not be used on claims that have been denied by Medicare or have been adjusted to zero. Fewer than 20 percent of modifier 25 claims are correct. Overuse of modifier 25 has increased significantly since…

07 Jan 23

Medical Coding & Billing Errors And Its Management

Introduction Medical coding and billing is a process of assigning codes to medical services rendered by physicians, hospitals, laboratories and other healthcare providers. It is a standard set of symbols or abbreviations used to describe medical conditions in order to facilitate the recording and reporting of healthcare information used in…

03 Nov 22

Every Dollar Counts: Revisiting Pre-Bill Review to Recover Revenue

Introduction In today’s healthcare landscape, there are many ways for a claim to be denied. While pre-bill review helps identify and address these denials as quickly as possible, it can also help uncover other areas where underpayments are occurring. Pre-bill review is conducted by a team of revenue integrity professionals…

16 Sep 22

How to Use Modifier 25 Correctly

Introduction Modifier 25 is a critical part of the Medicare program, but it can be difficult to understand and use correctly. In this post, I’ll explain what Modifier 25 does, why it’s needed, and how to use it properly. If a patient comes in for a preventive visit and the…

16 Sep 22

What Information Does A Medical Claims File Contain?

Introduction Every medical claims file contains details specific to each patient and patient encounter. In a medical file, this information is split into two parts: the claim header and the claim detail. The details are broken down to as granular a level as necessary to help ensure that all charges…

16 Sep 22

How To Code Claims (Depending On Rental Vs. Purchase)

Introduction When coding medical claims, it’s important to remember that different health insurance companies have different requirements. Each company has its own list of CPT codes (which are basically just a shorthand way of categorizing services). They’re also all different sizes: some might have 200 codes while others have more…

June 29, 2022
Martin Jacob
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March 16, 2022
Martin Jacob
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Claim

How To Use Modifier 25 Correctly

Medical Coding & Billing Errors And Its Management

Every Dollar Counts: Revisiting Pre-Bill Review to Recover Revenue

How to Use Modifier 25 Correctly

What Information Does A Medical Claims File Contain?

How To Code Claims (Depending On Rental Vs. Purchase)

What are the most common reasons claims get rejected?

Clean Claim Laws: What Payers Don’t Want You to Know

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