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...
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.
Part B fact sheet: Observation care services
Observation care is a well-defined set of specific, clinically appropriate services, which include ongoing short-term treatment...
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...
Telehealth services
Telehealth services substitute for an in-person visits and involve two-way, interactive technology permitting communication...
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...