On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...

The Centers for Medicare and Medicaid Services acknowledges that there are code combinations that may warrant an exception in reporting based on clinical documentation. Coders tend to err on the side ...

CMS recently released results of Medicare’s value-based payment modifier for 2015.[1] This is the first year in which physicians are subject to adjustments under the payment system and, in this first ...

A 72-year-old stopped her post-surgery physical therapy after a clinic cited a Medicare number that sounded like a hard ...

AudioEducator, a division of ProEdTech, will host a two-session Virtual Boot Camp on “CMS Modifiers: Coding, Billing, and Compliance Regulations.” When providers use modifiers incorrectly, it leads to ...

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 ...

In 2015 Medicare launched the Physician Value-Based Payment Modifier program, the largest US ambulatory care pay-for-performance program to date and a precursor to the forthcoming Merit-based ...

As part of the Calendar Year (CY) 2018 updates to the Medicare Hospital Outpatient Prospective Payment System (OPPS), the US Department of Health and Human Services Centers for Medicare and Medicaid ...

Please provide your email address to receive an email when new articles are posted on . In hospital employment settings, as well as large groups, work relative value unit-based compensation agreements ...

The Centers for Medicare & Medicaid Services (CMS) provides the Physician Fee Schedule tool, which allows healthcare professionals and community-based organizations to find payment information for ...