What is a 52 modifier in Medical Billing

Definition of Modifier-52 In the CPT® Appendix A, Modifier-52 is stated to be used “under certain circumstances a service or procedure is partially reduced or eliminated at the physician’s discretion.

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Outsource Medical Billing Services

Outsourcing has changed the face of many businesses including the medical industry. It allows a firm to outsource certain services that are essential for customer satisfaction and business to grow

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What is a CPT Code in Medical Billing

Definition of CPT-In medical billing, the term CPT stands for Current Procedural Terminology—a code system created by the American Medical Association (AMA)

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What is a Clearinghouse for Medical Billing

To ensure cash inflow, all the medical institutions are required to manage the revenue cycle by accelerating the reimbursement process. However, achieving maximum reimbursement

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What is a 25 modifier used for in Medical Billing

Sometimes Medicare patients visit the same physician for a different medical service either on the same or the next day. In such a case the physician is required to keep track of his productivity

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What does UB stand for in Medical Billing

In medical billing, the term UB stands for Uniform Billing. As the name Uniform Billings suggests, UB simply refers to the process of making medical billing both uniform and streamlined

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What does RVU mean in Medical Billing

Claim submission is a vital process in medical billing to generate reimbursement. But before generating any claim submissions hospitals are required to generate a bill charging the patient

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What does OPPS stand for in Medical Billing

Medicare is one of the fastest-growing federal health care insurance policies in the health care industry. With so many patients relying on Medicare to avail outpatient services

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What does HCPCS stand for in Medical Billing

To simplify the process of medical billing, the health care industry uses various types of codes like ICD, HCPCS, CPT, etc. These codes are designed to bring uniformity by assigning codes

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What does ERA stand for in Medical Billing

A large number of claims are being processed in the health care industry daily. Processing these claims requires generating thousands of EOB statements regularly.

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