tci Medicare Compliance & Reimbursement - 2021 Issue Q4

Modifier Mythbusters: Bolster Unrelated E/M Coding With Modifier 24 Smarts

Hint: Review Medicare guidelines before submitting your claims. Even the most seasoned coders struggle with the nuances of modifier 24 (Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period). Knowing how to use this modifier correctly, however, is a significant component of evaluation and management (E/M) coding, as it allows the provider to obtain valuable reimbursement when they conduct an unrelated E/M service during the global period of another service. Bust these myths to help you overcome common challenges surrounding modifier 24. Myth: You Can Use Modifier 24 For...

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