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Specific guidelines apply to proper application of therapy modifiers to indicate therapy discipline of plan of care.
The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
The National Correct Coding Initiative (NCCI) was developed to promote national correct coding methodologies and to control improper coding leading to inappropriate payments. Read this article to learn more about NCCI and other coding edits…
Find resources to assist with ICD-10 compliance as well as CPT and HCPCS information.
Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a “separate and distinct E/M encounter” from the service previously provided the same day in the same or different hos…
View details regarding specific modifiers including tips, decision flowcharts, and educational information.
Use this decision flowchart to assist in correctly applying the 24 modifier.
Find the latest news pertaining to Medicare billing, coding, and general coverage changes.
Telehealth modifiers should be submitted with distant site telehealth services. Patient must be present and participating in telehealth visit. View guidance in this article on the use of modifiers for these services.