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Medicare Compliance & Reimbursement

Appeal Strategies:

Appeal Modifier 25 Denials Effectively

Published on Thu Feb 14, 2013

Avoid missing out on deserved reimbursement with these four steps. If you feel that recent payer crackdowns on the overuse of modifiers, especially modifier 25, have affected you adversely, you’ll benefit from a refresher on how to appeal and successfully recoup your pay. 1. Check Documentation Meets Modifier 25 Criteria You should first verify that your physician’s chart note supports [...]
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