Modifier 25

Information About Modifier 25 and Coding

Information and guidance regarding three extremely active payment and compliance issues:

  1. Audit requests regarding OMT services reported on the same date of service as an office visit, along with the use of the Modifier-25.
  2. Audit requests related to coding higher level Evaluation and Management (E/M) services; often linked to the increase in use of electronic health records, and;
  3. Pay-for-performance and other quality recognition programs requirements for physicians to justify any practices that may cause them to be considered practice (cost) outliers.

Downloads:

AOA Letter regarding audits and Modifier 25 AOA Position Paper on Evaluation and Management Services with OMT CMS-Trailblazer audit tool Medicare-Modifier 25 Use Coding Trends of Medicare Evaluation and Management Services

US Department of Health & Human Services
Office of Inspector General report (OEI-04-10-00180)
05-08-2012

 

News

Jacob J. Cukierski, DO, Named 2018 Resident of the Year

Jacob J. Cukierski, DO, of Erie, Pennsylvania, was named the 2018 Resident of the Year by the American Academy of Osteopathy (AAO) on March 22 during the AAO’s annual meeting during its Convocation in Dallas.

Sidney N. Dunn Receives AAO's Academy Award

Sidney N. Dunn of Carmel, Indiana, is the 2018 recipient of the highest award that the American Academy of Osteopathy (AAO) bestows on a nonphysician.

Edward G. Stiles, DO, FAAO, Honored by Committee on Fellowship

Edward G. Stiles, DO, FAAO, of Lexington, Kentucky, received the Distinguished Service Award from the Committee on Fellowship in the American Academy of Osteopathy (AAO) on March 23 at the Academy’s annual Convocation in Dallas. The Fellow of the American Academy of Osteopathy (FAAO) Distinguished Service Award is presented to fellows who have distinguished themselves in contributions to osteopathic literature; development of osteopathic theories, methods or procedures; research; osteopathic education; service to the AAO; public relations; service to public health; or osteopathic medical economics and advocacy.