recei Modifier 25 -How to Use correctly?
What is modifier 25? Modifier 25 is a way to identify a “significant, separately identifiable...
NCD vs. LCD – Important things to know
Local coverage determination (LCD) It is the responsibility of Medicare Administrative Contractor (MAC) to set...
Modifier 59, XE, XP, XS, & XU
Modifier: A modifier helps to report that a service that has been performed has been...
modifier 26 and TC
A modifier helps to report that a service that has been performed has been altered...
Modifier 76 and 77
Modifier: A modifier helps to report that a service that has been performed has been...
Deductible
Deductible (PR1) It is a fixed amount that the policyholder needs to pay out...
Navigating Appeals and reconsideration
Dispute/Reconsiderations: A disagreement between Insurance and a provider over the amount the provider was paid...
CO 96: Non covered denial
Denial code co 96: Non-Covered Charges Please do check the remark code for the exact...
The Birthday Rule for Newborn Baby Insurance
The Birthday Rule for Newborn Baby Insurance Coverage •It is a set of rules that...
Which Health Plan is the Best? The HMO, PPO, EPO, or POS.
Managed Care Organization (MCO): A Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) are...