Physician

Overview

Internal Review – Overview

Introduction WWS’s internal review process helps us ensure high-quality coding and billing. We work with providers to ensure that their claims are as accurate as possible, which is why we recommend a 30-day Internal Review (IR) for all claims. The IR process uses the same methodologies used in an External…
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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…
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MEDICARE SECONDARY PAYER (MSP)

As a “secondary payer,” Medicare is the next in line to pay your medical bills. If you are covered by another insurance plan in addition to Medicare, that insurer is likely to be the primary payer of your medical bills. The primary payer will cover the claim up to his/her…
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AR FOLLOW-UP CRUCIAL IN MEDICAL BILLING Why?

AR follow up is crucial in medical billing  because today, many physicians discover that their medical practice or facilities are generating expected or growing monthly charges but are not experiencing the same growth in recurring cash flow.  It is common to find a provider with excessive amounts in medical AR…
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