Modifier 25 tips
These tips are based on questions posed regarding whether to bill an evaluation and management visit on the same day as a...
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Prolonged physician services: Nursing facility E/M visits
Learn more about billing Medicare for prolonged nursing facility E/M services exceeding the maximum time by at least 15 minutes...
Modifier 25 fact sheet
Specific guidelines apply to the proper application and billing of modifier 25.
Prolonged physician services: Hospital inpatient or observation care services
Learn more about billing Medicare for prolonged hospital inpatient or observation care E/M services exceeding the maximum time...
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...
Coding guidelines: Part A inpatient billing for malnutrition diagnosis codes
Read this article for diagnosis coding guidelines on correctly billing malnutrition claims.
Modifier 53 fact sheet
To avoid claim denials and future appeals due to these incorrect claim submissions, we’re providing guidance on how to properly...
Improve your billing of hospital inpatient or observation discharge day management codes
Effective January 1, 2023, changes were made to hospital inpatient or observation discharge day management codes. Review this...
YouTube video: Avoid Medicare claim rejects that should be submitted to a Medicare Advantage plan
Want to learn the key differences between original Medicare and a Medicare Advantage plan? Take a look at our YouTube video.