Healthicity Blog

Few coding modifiers have drawn as much scrutiny as modifier -25. Used to indicate a significant, separately identifiable evaluation and management (E/M) service on the same day as another procedure, modifier -25 has long been a point of focus for third-party payors and government enforcement...

In the latest Deeper Than the Headlines feature, we unpack a recent $427,000 settlement involving a Connecticut-based physiatrist and her practice that underscores a persistent risk area for providers: improper use of Modifier 25.

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.

Healthicity received so many great Modifier 25 questions during our recent webinar! They all had slight variations in the details, but most of the questions asked fit into five categories. CJ Wolf, MD, organized his responses below by those five categories.

Ever experienced Modifier 25 confusion? We get it – that's why we’re hosting a webinar focused totally on Modifier 25!

In many ways, compliance officers are the eyes in the sky of healthcare organizations.

Welcome back to our final installment of our Q&A on Telehealth in the Time of COVID.

Recently I hosted the webinar, How to Accurately Audit in the Evolving State of Telehealth