If you don’t properly meet certain requirements for the use of Modifier 25 in your sick visit bundled medical billing claims, you could very well be losing money and not know it.
There are some simple rules to follow to ensure that you’re getting the best reimbursements for your claims. First of all, make sure that you know exactly what the payer requires for reimbursement on these claims. Next, make sure you document exactly what caused the encounter and what the outcome was. This shows a logical flow of information and will better help the payer see that the services rendered will qualify for full reimbursements.
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