tci Part B Insider - 2016 Issue 32

Part B Statistics: Compare Your Physician Assistant's Modifier 25 Billing with Other PAs

Take a look at a recent CBR on physician assistants, E/M visits, and modifier 25. Benchmarking has become a popular revenue tool for providers to compare their billing patterns against those of their medical cohorts. Sifting through the data to see where you rank can help your practice figure out the ups and downs of billing trends, revenue, and more importantly, your level of patient care. Background.The OIG took a random sampling of 450 claims out of 29 million in 2002 and discovered that modifier 25(Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other...

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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.

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