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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 ...

Several commercial payers have adopted stricter reimbursement policies to deny modifier -25 claims upfront, according to Joette Derricks, a healthcare compliance and revenue integrity consultant who ...

In general, Medicare considers E/M services provided on the day of a procedure to be part of the work of that procedure. Q: A patient with a history of hypertension and high cholesterol visits a ...

More than 100 medical associations have taken issue with a new policy from Cigna regarding claims coded with modifier -25. Cigna is coming under fire for its new policy requiring submission of office ...

(HealthDay News) — Reader questions about coding a new evaluation and management (E/M) with modifier 25 and codes for three-dimensional (3D) mammograms are answered in an article published in Medical ...