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 ...

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 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 ...

A new analysis from Jiro Health estimates that a proposed change to Medicare payments involving Modifier 25 would reallocate approximately $889 million in annual Medicare fee-for-service payments, ...

AASM urges CMS to reject proposed 2027 Medicare conversion factor cuts of 1.19% to 1.68% and revise sleep testing and remote ...

Proposal would halve Medicare payments for some same-day services ...

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 ...

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 ...

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 ...

Law360, New York (November 9, 2012, 4:51 PM EST) -- The Alliance of Specialty Medicine hit out Friday at an Affordable Care Act-mandated provision in next year's Medicare fee schedule that would ...

Regulatory changes related to COVID-19 are flying at a fast pace these days and some of the most recent changes affect how you should code for telehealth services and COVID-19 testing when billing ...

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.