Surgical Billing Services The Role Of Modifiers
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Surgical Billing Services: The Role Of Modifiers
Medical billing modifiers are commonly misused in different 
medical practices, including the providers of surgeries. Did you 
realize you could be required to repay money paid to you by 
insurance or third-party payers if you misused a modifier?
When you misuse a service surgical billing modifier on a claim, 
it can be a costly mistake. That’s why it is essential to 
understand the basics of using modifiers to maximize 
reimbursement while avoiding claim denials and possible 
audits.
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An Overview of Modifiers in Surgical Billing Services
As per AMA and the CMS, a modifier is a means of reporting or 
indicating that a service or process has been done and altered 
by some specific situation but has not changed in definition.  It 
may also provide additional information about services done 
more than once or services that have occurred unusually. When 
not all of the services in a bundle are done, modifiers can be 
used to indicate this.
Types of Modifiers
Level I Modifiers: Level I modifiers, or CPT Modifiers, are two 
numeric digits copyrighted and updated yearly by the American 
Medical Association (AMA).
Level II Modifiers: Level II or HCPCS modifiers can be 
composed of Alphabets or Alphanumeric characters. The Centre 
for Medicare & Medicaid Services copyrights and updates these 
modifiers.
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Role of Modifiers
Modifiers come into the picture by giving detailed information 
that is standardized and efficient. Let’s see what purpose 
modifiers serve in surgical billing:
•Modifiers, which serve as informational or billing clarification, 
eliminate the need for a procedure listing or separate service.
•The use of inaccurate modifiers or the incorrect use of 
modifiers is deemed fraudulent and in violation of the laws.
•This would result in additional audits and income loss in the 
future. As a result, familiarity with the modifications list is 
critical.
•To discover correct modifiers for surgical billing services, 
healthcare professionals and medical billing companies can 
consult the modifiers guide.
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Outsource Surgical Billing Services
Insurance payers may deny or reject claims if modifiers are 
missing or improperly used. Also, surgeons need a strong 
foundation on the use of modifiers to avoid aged accounts, 
write-offs, and revenue leakage. This called for 
surgical billing outsourcing to the team of professionals and 
experienced billers and coders.
Our team of surgical billers and coders at 24/7 Medical Billing 
Services has been trained and understands the use of 
modifiers.  Each month, we conduct an exercise to grasp the 
reasons for each claim denial and mark the claims denied for 
coding issues for further investigation.  We strive to handle 
coding denials iteratively and in a structured way. This means 
that only a few claims are denied due to coding problems, such 
as incorrect or non-use of modifiers. As a result, our healthcare 
professionals benefit from lower denial rates, better collections, 
and faster cash flow.
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About Us
We are a medical billing company that offers ‘
24/7 Medical Billing Services’ and support physicians, hospitals, 
medical institutions and group practices with our end to end medical 
billing solutions. We help you earn more revenue with our quick and 
affordable services. Our customized Revenue Cycle Management 
(RCM) solutions allow physicians to attract additional revenue and 
reduce administrative burden or losses.
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Media Contact
24/7 Medical Billing Services
28405 Osborn Road, Cleveland, OH 44140
2028 E Ben White Blvd, 240-1030 Austin TX, 78741
Phone no :  +1 888-502-0537
                    Email us: [email protected]
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