Modifier 25 appears on millions of medical claims every year, making it one of the most frequently used modifiers in medical billing. It’s also one of the most frequently audited. Insurance companies scrutinize Modifier 25 claims closely because historically, this modifier has been both misunderstood and misused. When you use Modifier 25 correctly, you get […]
Claim Denial Prevention, Claim Denial Rate, Claim Denials, Denials, Denied Claims, Denied Medical Claims, E/M, E/M codes, E/M coding, E/M Service, Modifier 25, Modifier 25 Usage
The healthcare billing world is about to shift in 2026, and if you’re a provider, practice manager, or billing professional, you need to know what’s coming. The Centers for Medicare & Medicaid Services (CMS) has rolled out new rules for Evaluation and Management (E/M) services and telehealth that will affect how you document visits, code […]
Alternative Payment Models, APM, APMs, E/M, MDM, MDM Coding, Medical Decision-Making, Physician Fee Schedule, Reimbursement Models, Reimbursement Optimization, Reimbursement Rates, Time-Based Coding
Telestroke and teleneurology refer to the use of telehealth to provide acute stroke care and neurological care from a distance. This allows neurologists and stroke specialists to evaluate and manage patients in hospitals or clinics that may not have specialty care available onsite. The use of telehealth and virtual care models in neurology has grown enormously […]
Coding and Billing, CPT codes, E/M, E/M codes, E/M services, E/M Visits, HIPAA, HIPAA-compliant Telehealth, Tech-enabled Care Models, Telehealth Billing, Telemedicine, Telemedicine Billing, Telemetry, Teleneurology, Teleneurology Billing, Teleneurology CPT Codes, Telestroke, Telestroke Billing, Telestroke CPT Codes