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 ...

The definition of the QZ modifier by Medicare is for a CRNA service without medical direction by a physician. According to the report, for Medicare, medical direction is not achieved unless the ...

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 ...

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 ...

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 ...

Please provide your email address to receive an email when new articles are posted on . CMS has announced expanded coverage for specific colorectal cancer screening tests by lowering the minimum age ...

Split (or shared) visits—the current term used by the Center for Medicare & Medicaid Services (CMS)—allow non-physician practitioners (NPPs) and physicians who work for the same employer/entity to ...