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 2026 ICD-10-CM and CPT updates bring hundreds of new, revised, and deleted codes, plus tighter rules for modifier use. These changes impact reimbursement, compliance, and claim accuracy, making ...

2. Under-utilization of -59: It’s not taboo. When the Medicare edits (NCCI) correct coding modifier indicator (i.e., 1) allows a modifier to indicate a “separate” and “distinct” procedure, users may ...

Jessica Edmiston is manager, coding, for National Medical Billing Services. Q: Concerning screening colonoscopies, our ambulatory surgery center is having no problem using the -PT modifier for ...