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Tag Archives: charge

Increased Charge for 22 modifier

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Hello!

I just wanted to see what everyone’s typical price increase is for a 22 modifier. I am curious for both surgeries and global deliveries. I have seen some suggestions on forums of 20% or 25%, but I was thinking you could potentially lose out on reimbursement with those increases. I have heard of other offices doubling their charge. Any feedback and/or sources to reference would be very much appreciated!

Thank you!
Kaytie

Medical Billing and Coding Forum

Billing facility room charge with 99212

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I work in a critical access hospital in a remote area. We have specialists that come out to our facility and see patients through our specialty clinic. Our Ortho doctors will see patients in our area and then will do surgery back at the hospital in the city that they work in. They will then have follow up/post op visits again at our facility. Does anyone know for sure if we can bill for the room charge only? We do not handle the pro fees for the doctors and we know the post ops are included with the procedure. We typically bill a 99212 on a UB for the room only for a typical visit but are not sure if we can even do that on a post op visit.

Medical Billing and Coding Forum

Charge for medical supplies for in office procedure??

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I am wondering if a provider does a procedure like a Tenotomy (23405-52 or 27006-52) in the office, if he can charge the patient for supplies for the procedure. By not doing this in a surgical center or hospital he must supply the supplies himself and will get paid a reduced fee because of this. Are these billable to the insurance company (under what code?) or can he charge patient outright and not bill the insurance for the supplies?

Medical Billing and Coding Forum

Medicaid as primary or secondary- Can we charge the patient if they dont pay?

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if a patient has Medicaid as secondary can we trasnfer the balance to the patient if Medicaid does not pay? Because I know if the pateint has MEdicaid we can’t trasnfer the balance to the patient; however, if Medicaid does not pay is it still okay to charge the patient the balance? not sure if that applies when its primary and secondary or only primary.

Medical Billing and Coding Forum

Lead Charge & Coding Specialist in Minnesota

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As the Lead Charge and Coding Specialist you will provide day-to-day supervision of a portion of Center for Diagnostic Imaging’s Charge and Coding Team in St Louis Park, MN, including workflow direction, training and education. You will also be responsible for applying the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis and claims processing. In this role you will be part of a team of a medical coders who code a variety of radiology related procedures – which includes MRI, CT, X-ray, Sonogram, Mammogram, Nuclear Medicine, PET/CT, pain injections, Lung Cancer screening, and Bone Mineral Density.

Medical Billing and Coding Forum