Modifier Manual

Heal 360's $20 million settlement over swabs billed as full office visits shows how scribe and template notes can expose any practice.

CMS' 2027 fee schedule proposal would pay for RPM and RTM only when practice employees do the work. Here's what practices should review now.

New ICD-10 codes, NCCI edits and Medicaid eligibility limits all took effect Oct. 1. Here's what practices should check this week.

A spreadsheet and the question ‘why?’ are enough to get started, an expert says.

Former Integrated Medical Services CEO Monique Delgado explained how practice leaders can build performance-based physician pay with physicians at the table and why the work starts with the practice's own finances.

From payer contract homework to a 15-minute morning huddle, these are the moves practice administrators can make after four days of sessions and interviews at MGMA's centennial meeting.

A 2027 Medicare proposal would stop paying for RPM time logged by vendor staff and cut device payments. Our handbook walks through what to do.

An IDR win isn't a check. Payers have 30 days to pay, courts won't force them to and CMS admits awards are slipping through.