The use, or misuse, of Current Procedural Terminology code modifiers in physician compensation plans could lead to unintended cash compensation figures, according to an article from Integrated ...

Congress has extended key Medicare telehealth flexibilities, preserving pandemic-era provisions such as home-based visits, waived geographic limits, and audio-only options. The policy shift comes ...

The 2026 ICD-10-CM and CPT updates bring hundreds of new, revised, and deleted codes, plus tighter rules for modifier use. These changes impact reimbursement, compliance, and claim accuracy, making ...

Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...

The application of modifier -33 is primarily to indicate the impact on patient’s co-pay, deductible, etc., with such services and has less relevance to the coding itself. To quite a degree, this ...

Medical school curriculum is heavy in anatomy, physiology, biochemistry, pathology, and clinical rotations or clerkships. There is very little, if any, instruction on proper coding and billing for ...

CMS has added 13 new modifiers and extended the one of one, as indicated in the January 2011 Integrated Outpatient Code Editor. Most of the new modifiers went into effect Jan. 1, but one new modifier ...