08/21/2018

Recent RAC Monitor Articles

This edition includes articles on......

Recent RAC Monitor articles you may find informative...

CMS Proposes 50 Percent Reduction in Claims Submitted with Modifier 25

The proposal is on the table as part of proposed E&M changes.

By now I am sure that everyone is well aware that the Centers for Medicare & Medicaid Services (CMS) has proposed modifications to the reimbursement model for the outpatient/office evaluation and management (E&M) code sets, as well as the anticipated documentation relaxation accompanying the proposal. These two portions of the proposed changes are getting much publicity, but what seems to be getting missed with all of the E&M hype is the proposed reimbursement changes to services billed with a Modifier 25.  READ MORE

Analysis: Deep Thoughts on the 2019 Proposed E&M Changes

CMS is proposing major changes to overhaul E&M services.

As I read through more and more articles and white papers on the new proposed 2019 evaluation and management (E&M) changes, I got more rather than less confused.  READ MORE