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EGlobalTech CBR201409 Modifier 25: Family PracticeModerator: Debra Goodman December 10, 2014 3:00 p.m. ETeGlobalTech CBR201409 Modifier 25: Family PracticeModerator: Debra GoodmanQuestions & Answers
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How to fill out modifier 25 family practice
How to fill out modifier 25 family practice
01
Gather the necessary documentation such as the patient's medical records and encounter notes.
02
Identify the appropriate E/M (evaluation and management) code to bill for the family practice visit.
03
Ensure that the patient's medical condition warrants the use of modifier 25.
04
Complete the CMS-1500 claim form or electronic equivalent with the necessary information.
05
Include the appropriate procedure code for the E/M service along with the modifier 25.
06
Submit the claim to the appropriate payer for reimbursement.
07
Keep a record of the claim submission for future reference.
Who needs modifier 25 family practice?
01
Family practice physicians who provide evaluation and management services along with a separate procedure or service on the same day.
02
Patients who require both a routine family practice visit and a distinct procedure or service during the same encounter.
03
Practices where it is common to provide comprehensive care for patients within the same visit, including both evaluation and management and a separate procedure or service.
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What is modifier 25 family practice?
Modifier 25 is used to indicate that a significant, separately identifiable evaluation and management (E/M) service was provided by the same physician on the same day of a procedure or other service.
Who is required to file modifier 25 family practice?
Family practice physicians or any other physicians who provide E/M services on the same day as a procedure or other service.
How to fill out modifier 25 family practice?
To fill out modifier 25, the code must be added to the E/M service code on the claim form to indicate the separate nature of the service.
What is the purpose of modifier 25 family practice?
The purpose of modifier 25 is to ensure that providers are appropriately reimbursed for the additional work involved in providing a separate E/M service on the same day as another service.
What information must be reported on modifier 25 family practice?
Providers must report the separate E/M service with modifier 25, along with documentation supporting the medical necessity of the additional service.
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