American Academy of Dermatology

OIG report supports dermatologists’ use of modifier 25, CMS requires no further action

In response to the report, CMS concluded that dermatologists are complying with modifier 25 coding rules and the agency will not impose any additional regulations in this area.
Becker's Hospital Review

RACs’ Upcoming Part B Audits Likely to Focus on Modifier -25 Usage

When RAC contractors start complex reviews of Medicare Part B claims, they will likely hit practices in a weak spot, physicians’ use of CPT modifier -25, according to a report by the RAC Monitor.
Becker's Hospital Review

BCBS Michigan to cut 50% from some E/M payments with ‘modifier 25’

This February, BCBS Michigan shared how it will cut reimbursement by 50% for nonpreventive evaluation/management services with modifier 25 that were billed on the same day as procedure codes with ...