Physician Practice Specialists» Medical Coding

Can a Doctor bill under another Doctor? (Incident-To)

Andrew — Tue, 01 May 2012 15:17:50 +0000

Wow, this question must come up at least 3 times a week in conversations about expediting the credentialing/enrollment process.

Here is an artcle that we wrote covering this topic. It is possible, depending on your relationship with a commercial insurer, to obtain authorization from them to bill under a supervising physician. This is rare but [...]

Essential Elements to Correctly Billing with Q6 & Q5 Modifier

Mon, 02 Apr 2012 15:23:38 +0000

This is something that many practices have inquired about or been concerned about so we will lay out a few critical details to help you understand how, why, and when you can bill for a locum.

1. Is your event an acceptable case for a locum tenen?

This is the first and most critical question [...]

When to use Modifier 25

Andrew — Mon, 02 Aug 2010 16:14:00 +0000

Here are three brief descriptions of when to properly use Modifier 25. Modifier 25 is the most common modifier used in an office based Medical practice and below are some easy to follow guidelines to reduce denials and improve collections. There are many great billing systems that have tables loaded which assist in using modifiers [...]

Billing Correctly with Q6 Modifier

Andrew — Fri, 05 Mar 2010 16:31:48 +0000

There continues to be a lot of debate/discussion on the appropriate ways to utilize the Q6 modifier. There is very good information in the practice forum that should help practice considering the use of the Q6 modifier but we also wanted to provide you with the CMS documentation. Nearly everyone at some [...]

Free Coding Publications

Andrew — Thu, 18 Feb 2010 14:56:30 +0000

As part of our continued service to the medical community we are offering two free issues of numerous coding publications. Just about every specialty is covered in addition to various healthcare compliance, Medicare, and legislative publications. This is a great way to increase your knowledge and stay current with all of the changes happening in [...]