The Centers for Medicare and Medicaid Services acknowledges that there are code combinations that may warrant an exception in reporting based on clinical documentation. Coders tend to err on the side ...

In response to the report, CMS concluded that dermatologists are complying with modifier 25 coding rules and the agency will not impose any additional regulations in this area.

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 ...

AudioEducator, a division of ProEdTech, will host a two-session Virtual Boot Camp on “CMS Modifiers: Coding, Billing, and Compliance Regulations.” When providers use modifiers incorrectly, it leads to ...

CMS recently released results of Medicare’s value-based payment modifier for 2015.[1] This is the first year in which physicians are subject to adjustments under the payment system and, in this first ...

The Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) have reviewed the use of Modifier 25 to unbundle payments for evaluation and management (E/M) services when ...

Please provide your email address to receive an email when new articles are posted on . CMS has announced expanded coverage for specific colorectal cancer screening tests by lowering the minimum age ...

Modifiers (usually 2-digits) are added to the main procedure code to signify that the procedure has been altered by a distinct factor. Modifiers are accepted by most payors. Modifiers can increase or ...

The first year of Medicare’s Physician Value-Based Payment Modifier program saw 29.3 percent of eligible practices penalized for failing to register and report data, according to a study published in ...