Healthicity Blog

Modifier 59 is here, there, and everywhere!

It’s one of the most frequently used and misused modifiers in medical coding and billing, and it indicates that a procedure or service was distinct or independent from other services performed on the same day by the same provider.

When we code and audit surgery notes, one of the biggest challenges our community faces is

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

Last week we released part one of our two-part conversation with Christopher Chandler

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

EXAMPLES OF MODIFIER 59 ERRORS

Your organization is losing money. The OIG HHS reported that nearly 42% of Medicare claims for E/M services are incorrectly coded resulting in $6.7 billion in overpayments.

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

For years, the OIG has been performing Hospital Compliance Reviews that are essentially data-driven billing analyses of inpatient and outpatient reimbursement.