On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...

AudioEducator, a division of ProEdTech, will host a two-session Virtual Boot Camp on “CMS Modifiers: Coding, Billing, and Compliance Regulations.” When providers use modifiers incorrectly, it leads to ...

The Centers for Medicare and Medicaid Services acknowledges that there are code combinations that may warrant an exception in reporting based on clinical documentation. Coders tend to err on the side ...

CMS has added 13 new modifiers and extended the one of one, as indicated in the January 2011 Integrated Outpatient Code Editor. Most of the new modifiers went into effect Jan. 1, but one new modifier ...

Medicare's pandemic-era telehealth flexibilities have been extended through December 31, 2027, preserving home-based access, geographic waivers, and audio-only options. The extension comes alongside ...

CMS recently released results of Medicare’s value-based payment modifier for 2015.[1] This is the first year in which physicians are subject to adjustments under the payment system and, in this first ...

The Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) have reviewed the use of Modifier 25 to unbundle payments for evaluation and management (E/M) services when ...

Cataract surgery may be routine in the operating room, but it’s anything but simple when it comes to billing and coding. From understanding the 90‑day global period to applying the right modifiers for ...

Here are the anesthesia claims modifiers and guidance for when to report them, according to the Centers for Medicare & Medicaid Service’s Medicare Claims Processing Manual.

The first year of Medicare’s Physician Value-Based Payment Modifier program saw 29.3 percent of eligible practices penalized for failing to register and report data, according to a study published in ...