Ask An Advisor: Understanding Modifier 25 and 57 in Medical Billing and Coding
Download MP3In this episode of MGMA's Ask An Advisor podcast, we feature Senior Advisor Cristy Good talking about Modifier 25 and Modifier 57 in medical billing and coding.
Sources:
Cigna to rescind latest modifier 25 policy: https://www.mgma.com/advocacy-letters/april-18-2023-mgma-and-partner-healthcare-stakeholders-urge-cigna-to-rescind-latest-modifier-25-policy-2
2023 Medical Coding and Billing Toolkit; https://www.mgma.com/member-tools/2023-medical-coding-and-billing-toolkit
Sponsors:
MGMA DataDive:
It's time to explore and find the answers you've been searching for with the new 2023 DataDive data sets!
The MGMA Provider Compensation and Production data set is one of the most comprehensive data sets in the industry, providing hospital- and physician-owned practice data and compensation benchmarks for medical directorship, on-call, academic and starting salaries. The 2023 data set represents nearly 190,000 providers from 6,800 groups spanning 250 specialties.
With this valuable data you can...
• Attract and retain the highest-quality providers
• Drive more revenue through productivity
• And keep costs contained
Learn more by visiting mgma.com/datadive
CareAllies:
Healthcare is complicated. But you don’t have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care.
Resources:
Ask an Advisor: www.mgma.com/ask-an-advisor
MGMA Membership: www.mgma.com/membership
MGMA Advocacy: www.mgma.com/advocacy
MGMA Consulting: www.mgma.com/consulting/overview
Mentorship Program: www.mgma.com/membership/landing…rogram-application
This episode is sponsored by MGMA Events.
If you would like additional tools and resources related to medical practice leadership email us at podcasts@mgma.com.
Thank you again for taking the time to listen to MGMA’s Insights podcast. If you have opportunities you'd like to share with the MGMA audience, go to www.mgma.com/marketing-with-mgma/advertise to find out how you can connect with the MGMA audience.
In this episode of MGMA's Ask An Advisor podcast, we feature Senior Advisor Cristy Good talking about Modifier 25 and Modifier 57 in medical billing and coding.
Sources:
Cigna to rescind latest modifier 25 policy: https://www.mgma.com/advocacy-letters/april-18-2023-mgma-and-partner-healthcare-stakeholders-urge-cigna-to-rescind-latest-modifier-25-policy-2
2023 Medical Coding and Billing Toolkit; https://www.mgma.com/member-tools/2023-medical-coding-and-billing-toolkit
Sponsors:
MGMA DataDive:
It's time to explore and find the answers you've been searching for with the new 2023 DataDive data sets!
The MGMA Provider Compensation and Production data set is one of the most comprehensive data sets in the industry, providing hospital- and physician-owned practice data and compensation benchmarks for medical directorship, on-call, academic and starting salaries. The 2023 data set represents nearly 190,000 providers from 6,800 groups spanning 250 specialties.
With this valuable data you can...
• Attract and retain the highest-quality providers
• Drive more revenue through productivity
• And keep costs contained
Learn more by visiting mgma.com/datadive
CareAllies:
Healthcare is complicated. But you don’t have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care.
Resources:
Ask an Advisor: www.mgma.com/ask-an-advisor
MGMA Membership: www.mgma.com/membership
MGMA Advocacy: www.mgma.com/advocacy
MGMA Consulting: www.mgma.com/consulting/overview
Mentorship Program: www.mgma.com/membership/landing…rogram-application
This episode is sponsored by MGMA Events.
If you would like additional tools and resources related to medical practice leadership email us at podcasts@mgma.com.
Thank you again for taking the time to listen to MGMA’s Insights podcast. If you have opportunities you'd like to share with the MGMA audience, go to www.mgma.com/marketing-with-mgma/advertise to find out how you can connect with the MGMA audience.
CareCredit
Are your patients concerned about out-of-pocket costs? Is your practice looking for a way to help address those concerns and improve the patient experience? Then, you may want to consider offering the CareCredit credit card as a payment option. For over thirty-five years, CareCredit, a Synchrony solution, has been offering patients a way to pay for health and wellness expenses not covered by insurance. CareCredit can seamlessly integrate with your business and offer a valuable financing option for your patients so they can pay for services or products over time to help fit their budget. To learn more about how CareCredit works for you and your patients, visit www.carecredit.com/mgmapodcast.
NextGen
Looking to transform your healthcare practice with AI? NextGen Healthcare is leading the way by leveraging artificial intelligence. It is helping practices improve efficiency, streamline workflows, and enhance patient outcomes. From predictive analytics to automating routine tasks, NextGen Healthcare's AI solutions are revolutionizing the delivery of care. Don't miss out on the future of healthcare innovation. Visit https://www.nextgen.com/ today to learn how NextGen Healthcare can help you drive efficiency and elevate patient care.
Are your patients concerned about out-of-pocket costs? Is your practice looking for a way to help address those concerns and improve the patient experience? Then, you may want to consider offering the CareCredit credit card as a payment option. For over thirty-five years, CareCredit, a Synchrony solution, has been offering patients a way to pay for health and wellness expenses not covered by insurance. CareCredit can seamlessly integrate with your business and offer a valuable financing option for your patients so they can pay for services or products over time to help fit their budget. To learn more about how CareCredit works for you and your patients, visit www.carecredit.com/mgmapodcast.
NextGen
Looking to transform your healthcare practice with AI? NextGen Healthcare is leading the way by leveraging artificial intelligence. It is helping practices improve efficiency, streamline workflows, and enhance patient outcomes. From predictive analytics to automating routine tasks, NextGen Healthcare's AI solutions are revolutionizing the delivery of care. Don't miss out on the future of healthcare innovation. Visit https://www.nextgen.com/ today to learn how NextGen Healthcare can help you drive efficiency and elevate patient care.
