Guest guest Posted October 2, 2008 Report Share Posted October 2, 2008 Interestingly, my clearinghouse support people tell me that almost none of their customers use modifiers. Is that true for folks here? Even if you don't bill preventive/acute, how else to bill a procedure on the same day, etc.? Haresch > > > To the group, > > My biller opined today that she feels that we have been very lucky to > > be getting paid for both a preventive health visit and a problem- > > oriented E/M service, such as when a patient comes in for a physical > > and also complains of a significant problem, such as dizziness or > > joint pain or abdominal pain, etc. I was under the impression that > > most insurers honor the modifier -25 code and will pay for both E/M > > services but she thinks that most physicians will not bother > > submitting the dual codes and when they do, only one of them gets > > paid. So my two questions to the group are: > > > > 1. How often do you submit a claim that has both a preventive health > > visit PLUS a problem-oriented E/M visit? > > 2. How often to you get paid for both E/M charges? > > > > Seto > > South Pasadena, CA > > > > > > > > -- > Annie Skaggs > Lexington, KY > Quote Link to comment Share on other sites More sharing options...
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