tci Part B Insider - 2022 Issue Q2

Modifier: Augment E/M Smarts With These 3 Steps

Find out what equals ‘separately identifiable.’ If your Part B practice reports a separate evaluation and management (E/M) service every time you perform a procedure, you may be setting your group up as a target for auditors. That’s why it’s crucial to understand the right way to report these services. Unlock the secrets to legitimate pay for separately identifiable E/M services using modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service) with these three guidelines...

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