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Specific guidelines apply to proper application of therapy modifiers to indicate therapy discipline of plan of care.
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment. The code remains on the Medicare telehealth services list. View this article for details on the new assessment…
The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.
View this article for instructions on how and when to use modifier 77.
To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 57.
To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit a claim when applying modifier 24.
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…
Here is clarification on the appropriate use of modifiers to report assistant at surgery services and how payment is determined under the Medicare physician fee schedule (MPFS).
When physicians transfer the care of the patient during the global care period, the use of a modifier will be necessary to distinguish who is providing care for the patient. This article explains how to properly apply modifiers when these i…