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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…
Procedures performed during separate patient encounters, at separate anatomic sites, or on separate specimens, may require a modifier be reported. Avoid claim denials or appeals due to incorrect claim submissions by properly applying anatom…
The Medicare physician fee schedule status indicators for bilateral services should be used to determine if the procedure is allowed to be performed bilaterally.