The use, or misuse, of Current Procedural Terminology code modifiers in physician compensation plans could lead to unintended cash compensation figures, according to an article from Integrated ...

Modifiers (usually 2-digits) are added to the main procedure code to signify that the procedure has been altered by a distinct factor. Modifiers are accepted by most payors. Modifiers can increase or ...

Furthermore, to automatically report the -59 modifier for all multiple procedures performed after the primary procedure in place of the -51 modifier is not only incorrect, but it is a red flag for ...

Medical billing and coding systems ensure that health providers get paid for their services. Learn the steps in medical ...

Compensation and reimbursement plans vary widely across the healthcare system. Collections-based, dollar per relative value unit (RVU) or salary plus incentive are three of the most commonly used ...

Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...

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 ...