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Insurance Verification Paramount

If your office accepts insurance, it is vital that you start with an Insurance Verification Form that is tailor-made to your practice. The purpose of this form is to verify benefits (or the lack thereof) and to make patients aware of their coverage and ultimately what their responsibility will be for any unpaid balances. Just because an insurance company tells you that your patient has coverage, it does not mean everything will be covered. A properly worded verification, executed in a knowledgeable manner, will eliminate most surprises come payment time.

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The Art of Coding and Billing

As much as coding and billing is an art; it can also be a science. One insurance company wants a certain CPT code with one modifier, another wants no modifier at all, and yet another insurer wants a totally different modifier for that same code. That is one of the unpleasant aspects of coding and billing which makes it an art; among many other egregious insurance company practices that keep us all guessing as to what they really want.

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