The agency reviewed a stratified sample of 85 inpatient and 15 outpatient claims billed to Medicare from January 1, 2017, through December 31, 2018. A September audit by the Office of Inspector ...

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 ...

Modifier -33 is not required on services that are inherent to screening services, i.e., screening mammography. Scenario for modifier -PT A Medicare patient presents for a screening colonoscopy with a ...

Is Facility Fee Charge Waived for Medicare When Using Modifier -33: Q&A With Rosalind Richmond of GENASCIS Rosalind Richmond, CCS, is chief coding and compliance officer for GENASCIS.

Please provide your email address to receive an email when new articles are posted on . CMS has announced expanded coverage for specific colorectal cancer screening tests by lowering the minimum age ...

Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...

The three-day payment window policy applies to certain hospital outpatient services provided within three days preceding an inpatient admission. A version of this article was first published December ...