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ED Coding and Reimbursement Alert

Modifiers:

Last-Minute Change Saves Practices from Further Modifier 25 Pay Cuts

Published on Tue Apr 17, 2018

Tip: Use this as an opportunity to review your modifier 25 processes. Emergency departments are accustomed to reporting modifier 25 every day, since most ED physicians have to evaluate a patient thoroughly before performing any procedures. Fortunately, EDs escaped a near-miss recently, thanks to one insurer's last-minute decision not to slash pay for E/M codes appended with modifier 25. Background: [...]
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