tci E/M Coding Alert - 2017 Issue 10

Modifier 25: Pennsylvania's Independence BCBS Updates Modifier 25 Policy, Reduces Reimbursement

Remember: Minor procedures have a zero-day or 10-day post-op period. If your practice bills Pennsylvania's Independence Blue Cross Blue Shield, make sure you check out their latest modifier 25 policy. According to the information found within this policy, you are now looking at a 50 percent reduction to claims appended with modifier 25. Practices Billing This Payer Will See Modifier 25 Pay Slashed by Half Here's the scoop: Effective as of Aug. 1, Independence will reimburse claims appended with modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on...

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