Top 5 Mistakes in Infusions and Hydration Coding to Avoid   Infusions and hydration coding can be complex, with specific guidelines that must be followed to ensure accurate billing and reimbursement. Errors in this process can lead to denied claims and lost revenue. In this article, we will discuss the top five mistakes to avoid in infusions and hydration coding, providing clarity for those involved in emergency room coding . Misunderstanding Drug Administration Codes   One o

In medical billing and coding modifiers are the keys to 'telling the story' of a patient encounter to insurance payers. While CPT codes define what was done, modifiers explain how or where the service was performed. This reference highlights four critical modifiers used to report increased procedural effort, unusual anesthesia, unrelated E/M services during global periods, and the distinction between professional and technical service components CPT Modifier 22: Increased Pro

Modifier 25 in Facility Outpatient ED and Observation Encounters Modifier 25 is one of the most frequently misunderstood modifiers in facility outpatient billing, especially in Emergency Department (ED) and Observation settings. When applied correctly, it supports appropriate reimbursement for a significant, separately identifiable evaluation and management (E/M) service performed on the same day as a procedure. When applied incorrectly, it becomes a major audit and denial ri

Every surgery is assigned a "global period," which can range from 0 to 90 days. For minor procedures, the global period is typically 0 or 10 days, while major surgeries can extend to 90 days. This global package includes three components: preoperative care, the surgery itself, and postoperative follow-up. Insurance companies pay one flat fee for the entire package. This approach encourages doctors to manage all stages of care, providing predictability in costs for insurers. I