#modifier25 search results
Thank you, Stacie Saylor, MSMS's reimbursement expert, for diligently working with BCBSM to reverse a policy change on the #Modifier25 -- moving it back to 100%! Michigan physicians are lucky to have you and the voice of MSMS and its 15,000 members advocating for them.
Billing in the surgical global period is tricky. Misusing Modifiers 24, 25 & 79 = denials, audits & lost $$ . ICS ensures compliance & clean claims. infohubconsultancy.com/medical-billin… #OrthopaedicBilling #Modifier24 #Modifier25 #Modifier79 #MedicalBillingExperts #RCM
Lots of work by @AADmember @AmerMedicalAssn and many others has led Anthem to rescind its #Modifier25 reimbursement reduction policy
Following meetings and discussions with @AADmember, Michigan Derm, & @MichStateMedSoc (and several others) @BCBSM announced yesterday it will no longer implement its #Modifier25 reimbursement reduction policy
Anthem Blue Cross recently announced that it will begin denying certain evaluation and management (#E&M) services submitted with #modifier25. Watch for more info as CMA digs deeper into this issue! ow.ly/aOtq30o3Zg8
In 2018, #CMADocs stopped predatory practices by health insurance companies, incl attempts to substantially limit same-day services (#modifier25 payments) & automatically downcode emergency services based upon ultimate diagnosis. More: cmadocs.org/year-in-review #CMALeads #CMA2018
One modifier confuses 90% of providers: Modifier 25 It should be used only when an E/M service is significant & separately identifiable on the same day as a procedure. Get it wrong = denials Get it right = revenue bit.ly/4548knB #MedicalBilling #Modifier25 #247MBS
Because of AADA’s advocacy efforts, @Cigna will delay a burdensome policy requiring dermatologists to submit documentation to use #modifier25 when billing E/M codes and a minor procedure. Check out your latest AADA breaking news alert in your email.
Webinar: Get to know #modifier25 with these coding tips and tricks from AADA coding experts - bit.ly/2S9rNkH
Insurers are increasingly taking aim at the use of #modifier25, pointing to what they view as excessive and/or inappropriate use. How did modifier 25 become the scapegoat for payers, and where does reimbursement stand now? bit.ly/2RBCIFz
Payers are increasingly eyeing #modifier25 reimbursement. Read how the Academy is defending efficient, value-based care in #DermWorld. bit.ly/3yU9FxO
The 25 modifier - “a significant, separately identifiable Evaluation and Management (E/M) service by the same physician or other qualified healthcare professional on the same day of the procedure or other service.” Click here to read more: ow.ly/Ab1250Bed5T #modifier25
@CMSGov proposes major E/M changes, #modifier25 payment reduction. What’s next? Learn more in #DermWorld Weekly - bit.ly/2utLN4q
The April @AnthemInc and @EmpireBCBS newsletter provides clarification to its new #Modifier25 reimbursement coverage policy. #Coding #Reimbursement #RevenueCycle #dermtwitter
Network adequacy falling thru the cracks for @Cigna in Bridgeton, MO. Unsure where @Cigna could fine another one like Dr Baak. In WI, employers are taking notice! Who wants an employee out of work more time than necessary because of a non-patient-centered #modifier25 ?#rescind
How will the new E/M guidelines affect the reporting of #modifier25? Find out in #DermWorld. bit.ly/2NmN61M
On May 20, 2022, @Cigna announced a new #modifier25 policy that will be effective for claims processes on or after Aug. 13, 2022 (regardless of encounter date). Read more in Derm Coding Consult. bit.ly/3MfikR0
May 2025 report from the HHS Office of Inspector General (OIG), reviewing claims from June 2022 to May 2023, revealed that 42% of intravitreal injection claims used Modifier 25 to bill for same-day E/M services #Modifier25 #MedicalBilling #OIGAudit #HealthcareCompliance
Billing in the surgical global period is tricky. Misusing Modifiers 24, 25 & 79 = denials, audits & lost $$ . ICS ensures compliance & clean claims. infohubconsultancy.com/medical-billin… #OrthopaedicBilling #Modifier24 #Modifier25 #Modifier79 #MedicalBillingExperts #RCM
One modifier confuses 90% of providers: Modifier 25 It should be used only when an E/M service is significant & separately identifiable on the same day as a procedure. Get it wrong = denials Get it right = revenue bit.ly/4548knB #MedicalBilling #Modifier25 #247MBS
Accurate time-based E/M coding is vital in #RheumatologyBilling. Document total time or MDM for CPT 99202–99215; use +99417 for prolonged services. Proper coding = fewer denials & max reimbursements. infohubconsultancy.com/medical-coding… #TimeBasedEM #Modifier25 #MedicalBillingExperts
Chiropractic billing pitfalls? Misused Modifier 25, missing AT, or overusing 59 = denials & audits. ICS ensures accurate modifier use through expert coding & clinical validation. Avoid errors: infohubconsultancy.com/medical-billin… #ChiropracticBilling #Modifier25 #RCM
May 2025 report from the HHS Office of Inspector General (OIG), reviewing claims from June 2022 to May 2023, revealed that 42% of intravitreal injection claims used Modifier 25 to bill for same-day E/M services #Modifier25 #MedicalBilling #OIGAudit #HealthcareCompliance
Confused between Modifier 24 and 25? One flags unrelated E/M during a global period. The other covers separate E/M on the same day as a procedure Get clear billing rules, examples & compliance tips. Read now: bit.ly/4lV2dtM #Modifier24 #Modifier25 #247MBS
If #medicalbilling had a sound, it’d go from chill to chaos quickly. One missing #Modifier25 = denial disaster. But with #MBC, denials turn into dollars. We fix errors fast & get you paid quicker. Let MBC be your billing superhero! shorturl.at/M8Lmo #ClaimDenials
One small error—like a missing #Modifier25—can turn a smooth claim into a denial nightmare. But with MBC on your side, denials turn into dollars! From fixing errors to getting claims paid fast, we make billing stress-free for providers. Let #MBC be your billing superhero. #RCM
Modifier 25: risky but doable. Get it right, reduce the risk, and stop losing revenue. It’s all about knowing when and how to use it. No more guesswork. Check out the breakdown here: open.substack.com/pub/hlthinspir… #HealthcareBilling #Modifier25 #RevenueCycle #Coding
🔍 Modifier 25: Navigate billing complexities effectively. Leonta Williams, MBA sheds light on its significance and pitfalls. #HealthcareBilling #Modifier25 icd10monitor.medlearn.com/modifier-25-wh…
icd10monitor.medlearn.com
Modifier 25: Where, When, and How to Use It Correctly – MedLearn Publishing
Modifier 25 remains that prickly modifier that seems to be a part of strategic planning for payment reduction to providers by health plans. For anyone who may not be aware, this modifier is appended...
Now Streaming - Modifier 25: Where, When, and How to Use It Correctly buzzsprout.com/152607/1506897… #TalkTenTuesday #Modifier25 #Coding #MedicalCoding
buzzsprout.com
Modifier 25: Where, When, and How to Use It Correctly - Talk Ten...
Collect for your modifier 25 claims with three key tips! bit.ly/3Gym7bB #modifier25 #cpc #medicalcoding #medicalbilling #medicalcoder #aapc #cpt #codingandbilling
#Modifier25 allows you to report E&M service provided on the same day as wound care treatment. With modifier 25, you're signaling to payers that E&M service was separate and distinct from the procedure itself. Contact us now: bit.ly/3nTl0eq #WoundCareBilling
Learn about clinical review standards for otolaryngologists billing for an E/M with an unplanned diagnostic endoscopy. Get insights on proper documentation with a detailed example at: allzonems.com/billing-for-e-… #physicianpractice #modifier25 #CPT #code #MedicalBilling #Allzonems
allzonems.com
Billing an E/M with a minor procedure
Here, the author discusses how to properly document an unplanned diagnostic endoscopy for E/Ms billed by otolaryngologists.
Super excited to discuss #Modifier25 in E & M coding, resection of bladder tumor (TURBT) with stent placement, as well as other coding issues in this exciting podcast with @PRSnetwork's Urology Coding & Reimbursement podcast. prsnetwork.com/151
prsnetwork.com
UCR 151: FAQs with Dr. John Lin - Increasing 99214-25 denials, more..
Urologists and urology practice staff: Administrators, APPs, Billers and Coders Unite! Your co-hosts, Mark, Scott and Dr. Ray Painter are on a mission to help urologists and staff achieve peak...
Virginia has laws. I need @JasonMiyaresVA to help Virginia physicians by enforcing them. #dermtwitter #modifier25 @VirginiaSCC @VaDermSociety
What are your thoughts on Cigna’s modifier -25 policy? Many say it burdens doctors and deters prompt care. #modifier25 #cigna #medicalcoding #medicalbilling #ama #ideacentrehimsolutions buff.ly/3LZPFlV
Because of AADA’s advocacy efforts, @Cigna will delay a burdensome policy requiring dermatologists to submit documentation to use #modifier25 when billing E/M codes and a minor procedure. Check out your latest AADA breaking news alert in your email.
Thank you, Stacie Saylor, MSMS's reimbursement expert, for diligently working with BCBSM to reverse a policy change on the #Modifier25 -- moving it back to 100%! Michigan physicians are lucky to have you and the voice of MSMS and its 15,000 members advocating for them.
In 2018, #CMADocs stopped predatory practices by health insurance companies, incl attempts to substantially limit same-day services (#modifier25 payments) & automatically downcode emergency services based upon ultimate diagnosis. More: cmadocs.org/year-in-review #CMALeads #CMA2018
Anthem Blue Cross recently announced that it will begin denying certain evaluation and management (#E&M) services submitted with #modifier25. Watch for more info as CMA digs deeper into this issue! ow.ly/aOtq30o3Zg8
Following meetings and discussions with @AADmember, Michigan Derm, & @MichStateMedSoc (and several others) @BCBSM announced yesterday it will no longer implement its #Modifier25 reimbursement reduction policy
NEWS: #Anthem #BlueCross dials back #modifier25 payment reduction policy; delays implementation to March 1 cal.md/2CjJqmP
Because of AADA’s advocacy efforts, @Cigna will delay a burdensome policy requiring dermatologists to submit documentation to use #modifier25 when billing E/M codes and a minor procedure. Check out your latest AADA breaking news alert in your email.
Lots of work by @AADmember @AmerMedicalAssn and many others has led Anthem to rescind its #Modifier25 reimbursement reduction policy
Billing in the surgical global period is tricky. Misusing Modifiers 24, 25 & 79 = denials, audits & lost $$ . ICS ensures compliance & clean claims. infohubconsultancy.com/medical-billin… #OrthopaedicBilling #Modifier24 #Modifier25 #Modifier79 #MedicalBillingExperts #RCM
Free Academy webinar on #modifier25 documentation for AAD members. Learn more in #DermWorld Weekly. ow.ly/im3p30h2gN2
BCBS Michigan rescinds #modifier25 reimbursement reduction policy. Learn more in #DermWorld Weekly. ow.ly/8Ws030kfV8c
After significant advocacy by @AADmember @AmerMedicalAssn & many others today @AnthemInc announced change and delay to its #Modifier25 reimbursement reduction policy. New policy is 25% reduction to e/m & effective March 1 in all impacted states.
Become Expert in Using #Modifier25 #modifier27 #codingtips #cptcode #cpcexam #aapc #e&mcodinghttp://sumo.ly/gg4h
ICYMI @AmerMedicalAssn and @dbarbe_md are working aggressively to oppose policies that reduce reimbursement when #modifier25 is appropriately used
Webinar: Get to know #modifier25 with these coding tips and tricks from AADA coding experts - bit.ly/2S9rNkH
Payers are increasingly eyeing #modifier25 reimbursement. Read how the Academy is defending efficient, value-based care in #DermWorld. bit.ly/3yU9FxO
Insurers are increasingly taking aim at the use of #modifier25, pointing to what they view as excessive and/or inappropriate use. How did modifier 25 become the scapegoat for payers, and where does reimbursement stand now? bit.ly/2RBCIFz
There’s been a lot of #modifier25 news lately. Are you using it correctly? Find out in #DermWorld - ow.ly/mVTa30iLGgR
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