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In general, Medicare considers E/M services provided on the day of a procedure to be part of the work of that procedure. Q: A patient with a history of hypertension and high cholesterol visits a ...

This February, BCBS Michigan shared how it will cut reimbursement by 50% for nonpreventive evaluation/management services with modifier 25 that were billed on the same day as procedure codes with ...

Current procedural terminology modifiers 25 and 57 may be confusing to some coders, but each serves a specific purpose, according to an AAPC report. For an evaluation and management visit when a ...

Several commercial payers have adopted stricter reimbursement policies to deny modifier -25 claims upfront, according to Joette Derricks, a healthcare compliance and revenue integrity consultant who ...

More than 100 medical associations have taken issue with a new policy from Cigna regarding claims coded with modifier -25. Cigna is coming under fire for its new policy requiring submission of office ...

(HealthDay News) — Reader questions about coding a new evaluation and management (E/M) with modifier 25 and codes for three-dimensional (3D) mammograms are answered in an article published in Medical ...