According to American Medical Association (AMA), Modifier 25 is a significant, separately identifiable evaluation and management service performed on the same day as the procedure or other service by the same qualified health care professional. Even if the documentation is not required to submit with the claim, the physician must adequately and sufficiently document the … [Read more...] about A Comprehensive Guideline To Modifier 25
modifier 25
What Do You Need To Know About Mental Health CPT Codes
Accuracy in using CPT codes may not appear to be of the utmost priority but utilizing the proper CPT codes for the health services you offer is essential. When your claims include the correct codes, they will be processed more quickly and providing the cash flow you need to run your practice. Coding errors result in your procedure being audited and result in fines. This post … [Read more...] about What Do You Need To Know About Mental Health CPT Codes
Common CPT Modifiers To Reduce Denials
Medical claims can be denied due to insufficient modifiers or inappropriate modifier combinations, which indicates your procedure code is inconsistent with the modifier you've employed. CPT modifiers notify payers about a particular aspect of a procedure, which may result in a higher payment to the provider. Modifiers indicate that more effort was necessary for several … [Read more...] about Common CPT Modifiers To Reduce Denials
Understand commonly used Modifiers and how they affect reimbursements
What are Modifiers? According to the AMA and the CMS, a modifier is a way to record or signify that a service or process has been performed and changed by some particular condition but has not changed in definition. It may also offer additional information on services that have been conducted more than once or services that have happened unexpectedly. When not all of the … [Read more...] about Understand commonly used Modifiers and how they affect reimbursements
Evaluation and Management (E/M) Modifier 25
In modern urgent care, an occasional consultation can quickly turn into a discussion on symptoms unrelated to the main cause of the visit. Do you understand when it's appropriate to apply Evaluation and Management (E/M) modifier 25? When a modest procedure and a major independently distinct assessment (E/M) services are conducted in the very same session or day, modifier … [Read more...] about Evaluation and Management (E/M) Modifier 25
