Pediatric Coding Alert

Modifiers:

3 Payers, 3 Sets of Modifier 25 Rules

Think all modifier 25 policies are the same? Think again. You’ve finally waded through your state’s Medicaid rules to determine exactly how that payer wants you to submit Medicaid claims, so you can start instituting those policies across the board, right? Not so fast. Insurers can dictate completely different rules for how they want your modifier claims submitted. This is [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Pediatric Coding Alert

View All