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 ...

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 ...

Here are the anesthesia claims modifiers and guidance for when to report them, according to the Centers for Medicare & Medicaid Service’s Medicare Claims Processing Manual.

Please provide your email address to receive an email when new articles are posted on . CMS has announced expanded coverage for specific colorectal cancer screening tests by lowering the minimum age ...

AudioEducator, a division of ProEdTech, will host a two-session Virtual Boot Camp on “CMS Modifiers: Coding, Billing, and Compliance Regulations.” When providers use modifiers incorrectly, it leads to ...

CMS has released new guidance on two different coding modifiers, according to an AGA eDigest report. CMS has expanded the range of service to which the PT modifier refers to include lower GI/endoscopy ...

As part of the Calendar Year (CY) 2018 updates to the Medicare Hospital Outpatient Prospective Payment System (OPPS), the US Department of Health and Human Services Centers for Medicare and Medicaid ...

CMS recently released results of Medicare’s value-based payment modifier for 2015.[1] This is the first year in which physicians are subject to adjustments under the payment system and, in this first ...

In 2015 Medicare launched the Physician Value-Based Payment Modifier program, the largest US ambulatory care pay-for-performance program to date and a precursor to the forthcoming Merit-based ...

The Centers for Medicare & Medicaid Services (CMS) provides the Physician Fee Schedule tool, which allows healthcare professionals and community-based organizations to find payment information for ...