Why You Don’t Need Modifier -25 on New Patient Exams
Why You Don’t Need Modifier -25 on New Patient Exams
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Modifier 25
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Modifier 25
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MEDICAL CODING MODIFIER 25 - Compliantly bill an E&M and separate service on the same date
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gumroad.com
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MedCode: E/M Basics — Modifier 25
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YouTubeCodette Veras
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📘 Coding Insight for Today Not all CPT codes stand alone. For example, 99213–99215 may require modifier -25 only when a significant, separately identifiable E/M service is performed on the same day as a procedure. Overusing -25 invites audits. Underusing it leads to missed reimbursement. The rule isn’t “always add a modifier.” The rule is support it in documentation. Coding accuracy lives in the details — not shortcuts. — The Ashez Group Precision behind every claim www.theashezgroup.com #Medic
560 views3 months ago
TikToktheashezgroup
3:59
Ever since I've been in coding, there's been issues with the 25 modifier. But Cigna is making an overly burdensome policy of requesting ALL documentation for 99212-99215 with a 25 modifier. Fax or email, no indication of a nice HIPAA secure portal. More work for providers and reviewers. Ugh. #medicalcoding #medicalcoder #medicalbilling #medicalbillingandcoding #medicalcodingstudent #healthinformation #healthdata #healthinsurance #cigna #healthcarenews #healthcare
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