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.
Podcast Sponsor CareCredit
Are you considering financing solutions to help your patients pay for their healthcare cost? But aren't sure where to start. Synchrony is here to help with the CareCredit credit card. For over 35 years, CareCredit has been connecting patients with financing solutions to pay for the care they want or need in a way that helps fit their budget.
When patients use CareCredit, providers get paid within two business days to learn more about how synchronize CareCredit card. To learn more about how Synchrony CareCredit Card can support you and your patients, visit carecredit.com/mgmapodcast.
Podcast Sponsor MGMA Analytics
Are you making decisions based on gut instinct—or on real data?
With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies.
From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry.
So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence.
Visit MGMA Analytics to learn more.
Are you considering financing solutions to help your patients pay for their healthcare cost? But aren't sure where to start. Synchrony is here to help with the CareCredit credit card. For over 35 years, CareCredit has been connecting patients with financing solutions to pay for the care they want or need in a way that helps fit their budget.
When patients use CareCredit, providers get paid within two business days to learn more about how synchronize CareCredit card. To learn more about how Synchrony CareCredit Card can support you and your patients, visit carecredit.com/mgmapodcast.
Podcast Sponsor MGMA Analytics
Are you making decisions based on gut instinct—or on real data?
With MGMA Analytics, you get the benchmarking and business intelligence tools to drive smarter strategies.
From provider compensation to operational costs, MGMA Analytics gives you access to the most trusted data in the industry.
So whether you’re adjusting staffing, setting salaries, or planning for growth, make your next move with confidence.
Visit MGMA Analytics to learn more.
