REIMBURSEMENT: Don't Use 25 Modifier For Procedure The Day After E/M Visit

Why This Topic Matters

These payer updates can affect claim acceptance, denial risk, and compliant reporting for common physician services and oversight claims. Keeping current with the guidance helps practices avoid billing errors and understand when carriers expect specific documentation or claim information.

Article Sections

1. E/M and minor procedure billing guidance

   Discusses payer guidance on reporting evaluation and management services in connection with minor procedures and related documentation considerations.

2. Care Plan Oversight claim filing note

   Summarizes a carrier note about home health agency and hospice provider information on care plan oversight claims.

3. Incident-to billing note in the emergency department

   Mentions a Medicare note concerning incident-to billing in the emergency department setting.