Modifier 25
Information About Modifier 25 and Coding
Information and guidance regarding three extremely active payment and compliance issues:
- Audit requests regarding OMT services reported on the same date of service as an office visit, along with the use of the Modifier-25.
- 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;
- 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: 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
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Submit your nomination for 2021 Outstanding Resident in OMM by May 9.