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Health equity innovation
CMS has designed several initiatives to eliminate disparities in health care quality and access so that all Medicare patients...
Medicare Learning Network
The Medicare Learning Network is the brand name for official CMS national provider education products designed to promote...
Utilizing modifier 91: Repeat clinical laboratory tests
View this article for instructions on how and when to use modifier 91.
Bilateral indicators
The Medicare physician fee schedule status indicators for bilateral services should be used to determine if the procedure is...
Anatomical modifiers
Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require a...
Modifier 50
Modifier 50 applies to bilateral procedures performed on both sides in the same operative session, except as indicated. Avoid...
Modifier AI
The principal physician of record appends modifier “-AI” to their initial hospital care or nursing facility visit code. All...
Utilization of modifier 76: Repeat procedures
Modifier 76 used to report repeat procedure or service by same physician or other qualified health care professional the same...
Modifier 22 fact sheet
Effective August 31, 2023, documentation is required for claims submitted with modifier 22. To avoid claim rejects and future...