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 has released new guidance on two different coding modifiers, according to an AGA eDigest report. CMS has expanded the range of service to which the PT modifier refers to include lower GI/endoscopy ...

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 ...

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 ...

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 ...

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.

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 ...

As part of the Calendar Year (CY) 2018 updates to the Medicare Hospital Outpatient Prospective Payment System (OPPS), the US Department of Health and Human Services Centers for Medicare and Medicaid ...

Medicare's pandemic-era telehealth flexibilities have been extended through December 31, 2027, preserving home-based access, geographic waivers, and audio-only options. The extension comes alongside ...

The first year of Medicare’s Physician Value-Based Payment Modifier program saw 29.3 percent of eligible practices penalized for failing to register and report data, according to a study published in ...