In Audit
Mar 5th, 2019
Separately billing routine evaluation and management (E/M) services provided on the same day as another medical procedure is typically denied by Medicare. Healthcare providers may sometimes separately bill E/M services if they meet certain criteria and append modifier 25 Significant, separately identifiable evaluation and management service by the same physician or other qualified health care ...
Jun 1st, 2012
Fight for your right to be paid for properly documented claims. By G.J. Verhovshek When commenting on Abraham Morse’s, MD, MBA, article “Same-day E/M and Office Procedure: Yes, You Can!” (March 2012 Coding Edge, pages 16-17), several readers shared that insurers (including Medicare contractors) routinely deny evaluation and management (E/M) claims when reported with other ...
Dec 1st, 2007
A clear understanding of E/M modifiers ensures an accurate portrayal of services. By Suzan Berman-Hvizdash, CPC, CPC-E/M, CPC-EDS One can read the definitions for the words modifier and modify and have a pretty clear understanding as to what these two words mean. A better question is what do they mean for the health care community? ...