Healthicity Blog

Around the offices here at Healthicity, our auditors and educators get more questions about Modifier 25 than any other modifier.

I just returned from San Diego where I spoke at the HCCA’s 2018 Clinical Practice Compliance Conference.

Q1: Can a physician and an NPP of the same specialty and the same group are both bill critical care code 99291 if documenting the critical time for the patient?

There’s nothing more frustrating to a coder than spending a good part of their work day correcting common provider coding errors.

Thanks so much for your interest in our webinar, Modifier 25: Unraveling E/M Services, where we talked about the complexities of Modifier 25, crucial payer information, regional MAC guidelines and much, much, more. The appropriate use of Modifier 25 can be a little tricky and a ton of you had...

The appropriate use of Modifier 25 can be a little tricky because the requirements are ultra-specific. On the one hand, Modifier 25 is really handy.

1. Former Orange County lab Owner Sentenced to 8 Years for Healthcare Fraud –

For those of you unfamiliar with coding and billing, modifier -59 is a two-digit numeric code modifier that can be appended to a CPT or HCPCS procedure code, for example, and will frequently bypass many payor edits.