CMS is establishing four new, more specific modifiers that will eventually replace modifier 59 (distinct procedural service) and the new modifiers will be effective on Jan. 1, according to an ...
On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...
The Centers for Medicare and Medicaid Services acknowledges that there are code combinations that may warrant an exception in reporting based on clinical documentation. Coders tend to err on the side ...
In addition to the creation of several new CPT codes for 2015, one CPT change is not about a new code but rather an old modifier. Modifier –59 is used when we want to communicate with the insurance ...
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Gloria Miller, CPC, CPMA, CPPM, former vice president of reimbursement services at Comprehensive Healthcare Solutions Inc. shares which CPT codes to use. Q: What CPT codes and modifiers would be used ...
> Daniel K. Lane, Jr., vice president and chief financial officer for Compass Healthcare, Inc., pleaded guilty to conspiracy to commit healthcare fraud for filing fraudulent claims with government and ...