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Use this decision flowchart to assist in correctly applying the 57 modifier.
Medicare pays for cardiac rehabilitation (CR), intensive cardiac rehabilitation (ICR), and pulmonary rehabilitation (PR) programs if specific criteria are met. This criterion includes coverage provisions for CR, ICR, and PR items and servic…
View recordings of past in-house webinars on topics such as submitting applications, maintaining the enrollment record, successfully completing revalidation, and more.
This article summarizes the Medicare E/M guidelines for split or shared E/M services effective in 2024.
Review this checklist to learn about the documentation requirements to ensure an affirmed decision on your prior authorization request (PAR) for repetitive, scheduled, non-emergency transport.
View recordings of past in-house webinars regarding specialty services, such as SNF billing guidance, covered dermatology services, understanding psychotherapy, and more.
Surgeons append modifier 66 to claims indicating they were on a team of surgeons performing a specific procedure on the same patient during the same operative session. Billing modifier 66 requires documentation to support the claim.
Find information on local and national coverage determinations specific to preventive services.
Hospitals: Actions to Make Healthcare Prices Transparent
Read this article for information about billing modifier 79.