Actually, Charlene, that is one of the main reasons we started writing books. Many of the ones we encountered were also written by people not in (and never been in) the medical billing field. It was very frustrating. Michele
WHY and HOW diagnoses are put in a particular order and WHEN to use the modifiers.
QuoteWHY and HOW diagnoses are put in a particular order and WHEN to use the modifiers.This is just my opinion, but we are talking about "coding issues" here. While some books will address "general" recognition of codes/modifiers.. if someone wants more on "coding" I would think they should look for books/courses on coding, otherwise the provider is ultimately responsible for that if the biller is not fully educated, experienced or certified. Am I missing something.. I'm thinking if you don't know what order dx codes go or general idea of modifier use, you are inexperienced and uneducated in coding.. right?
I was hoping that the book would also explain how to properly bill for in and out of network Medicare Replacements, and the implications of accepting assignment or not. And what forms need to be on file for that.
I was hoping that the book would also explain how to properly bill for in and out of network Medicare Replacements, and the implications of accepting assignment or not. And what forms need to be on file for that. In the forum, I read about accepting assignment for insurances, when you are out of network. Ok, then you can only accept what the insurance company says is allowable? These are the type of issues that I had hoped that the book would address. When can you balance bill the patient? What do you do when the copay is higher than charge? The sliding fee for insurance and cash patients...when you use the GW modifier...