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Pulmonology Coding Alert

Appeal Strategies:

Use this 4-Step Strategy For Successful Modifier 25 Claims

Published on Tue Apr 09, 2013

Maintain list of payers that deny these claims to help re-negotiate contracts. Many payers are now wary of modifier overuse – especially modifier 25. You can avoid raising red flags by reviewing our 4-step process for  appropriately applying this modifier. 1. Check Documentation Meets Modifier 25 Criteria You should first verify that your physician’s chart note supports billing an E/M [...]
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