Current book and archives back to 2000 Easy-to-read online book format Linked to and from code details
tci Part B Insider - 2004 Issue 20
MODIFIERS: Consider Using Time-Based Billing For E/M Visits With Modifier -57
Remember the 50-percent rule and you'll come out ahead.
An evaluation and management visit in which the physician makes the decision to go ahead with surgery will involve a lot of medical decision making, but it may be hard to document enough to justify a high-level visit.
That's why you should consider billing for these modifier -57 visits using the counseling and coordination care rule instead, says consultant Quinten Buechner with Proactive Consultants in Cumberland, WI. Often, a lot of time is spent in these visits discussing the surgery with the patient, who may need to discuss scary topics...
To read the full article, sign in and subscribe to tci Part B Insider.
Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4800 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.