The use, or misuse, of Current Procedural Terminology code modifiers in physician compensation plans could lead to unintended cash compensation figures, according to an article from Integrated ...

Current procedural terminology modifiers 25 and 57 may be confusing to some coders, but each serves a specific purpose, according to an AAPC report. For an evaluation and management visit when a ...

Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...

Documentation tip: An AMA CPT directive states to report -53 modifier, which is for a discontinued procedure (physician modifier). ASCs should report according to MCR ASC Processing Manual and/or ...

When RAC contractors start complex reviews of Medicare Part B claims, they will likely hit practices in a weak spot, physicians’ use of CPT modifier -25, according to a report by the RAC Monitor.

On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...

Betsy Nicoletti, MS, a nationally recognized coding expert, will take your coding questions via email and provide guidance on how to code properly to maximize reimbursement. Have a question about ...

On November 2, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the CY 2023 Medicare Physician Fee Schedule Final Rule (Final Rule), which will take effect January 1, 2023. The Final ...

Do you generally refer to the appendix in your manuals, research materials, or other clinical practice guidelines? Perhaps when a question arises or context references you to the appendix, however not ...