decisionhealth Newsletters, Part B News - 2026 Issue 5 (May)
Add other separately billable E/M modifiers to your compliance training
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Article Overview
This article explains why certain evaluation and management modifiers matter in professional coding compliance and staff training. It focuses on how these modifiers are discussed in relation to postoperative periods, surgery decision timing, and common scenario-based education used by coding teams. The content is relevant for coders, billers, compliance staff, and practice managers who want to better understand modifier use in professional services workflows.
Why This Topic Matters
Correct modifier awareness helps practices support compliant E/M reporting, reduce denials, and avoid billing errors tied to postoperative visits and surgery-related encounters.
Article Sections
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Overview of commonly discussed E/M modifiers
Introduces the role of selected evaluation and management modifiers in professional services compliance training. It also frames why these modifiers are important for staff education and billing oversight.
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Modifier 24
Discusses postoperative-period E/M reporting in general terms and how this modifier is presented in training. It includes broad guidance on staff education and appropriate awareness of unrelated visits.
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Modifier 57
Covers surgery-decision timing in relation to evaluation and management visits. The section explains the training context for this modifier and its relationship to major procedures.
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Modifier 24 scenarios
Presents scenario-based training examples used to test staff understanding of postoperative encounter review. The examples are included to support compliance education.
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Modifier 57 scenarios
Presents scenario-based training examples used to test staff understanding of visits leading to surgery. The examples support team education on timing and reporting context.
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Resource
Lists a referenced compliance resource for further study and reference. It points readers to an official coding policy manual.
What You Will Learn
- How the article frames modifier education for professional services compliance
- What kinds of postoperative and surgery-related situations are discussed
- How scenario-based training is used to reinforce modifier awareness
- Which official resource is referenced for further review
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Physician office staff
- Coding educators
Modifiers Discussed
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