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When RAC contractors start complex reviews of Medicare Part B claims, they will likely hit practices in a weak spot, physicians’ use of CPT modifier -25, according to a report by the RAC Monitor.

More than 100 medical associations have taken issue with a new policy from Cigna regarding claims coded with modifier -25. Cigna is coming under fire for its new policy requiring submission of office ...

Several commercial payers have adopted stricter reimbursement policies to deny modifier -25 claims upfront, according to Joette Derricks, a healthcare compliance and revenue integrity consultant who ...

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Please provide your email address to receive an email when new articles are posted on . The National Correct Coding Initiative (NCCI) is a document that correlates Current Procedural Terminology (CPT) ...

Anthem Blue Cross Blue Shield won’t proceed with a policy that would have slashed reimbursement rates for evaluation and management services billed with modifier 25 by 50 percent. Here are four ...