MedicareCompliance

JW and JZ Modifiers

JW and JZ Modifiers Compliance: Drug Billing Guide

In today’s healthcare landscape, every dollar counts. Therefore, for practice managers and providers, proper drug billing is crucial. It ensures compliance and maximizes revenue. A common pain point? Billing for single-dose vials. Fortunately, Medicare offers a clear solution with two essential codes: the JW and JZ modifiers. Understanding these modifiers is key to getting paid […]

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Denial Code 54

Avoid Denial Code 54 Multiple Physicians Denials with RCM

For practice managers, healthcare providers, and practice owners, Denial Code 54 Multiple Physicians is a frequent and frustrating barrier to timely reimbursement. This denial indicates that the payer, often Medicare, deems the involvement of multiple physicians or assistants unnecessary for a specific surgical procedure. Consequently, the claim for the additional provider is rejected. Addressing this

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