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Decoding Modifier 25 in Medical Billing
In this episode of 'Coffee with Coker,' hosts Erika and Jaci dive into the complexities of Modifier 25. They discuss its definition, common scenarios for its use, and the nuances of documentation required for correct billing. The conversation touches on various examples like preventative medicine visits, minor procedures, and specific use cases such as cerumen removal and urgent care visits. With insights and practical advice, this episode aims to clarify the often confusing application of Modifier 25 in the ever-changing healthcare landscape. The hosts also invite listeners to share their thoughts and questions on this much-debated topic.
00:00 Introduction to Modifier 25 and Its Complexities
00:51 Defining Modifier 25: The Basics and Beyond
05:43 Practical Examples and Scenarios of Modifier 25 Application
08:45 Navigating Documentation and Billing Challenges
15:13 Exploring Specific Cases: Urgent Care, Cerumen Removal, and More
28:08 Concluding Thoughts and Future Topics
Links to other resources:
AMA | Reporting CPT Modifier 25 (www.ama-assn.org/system/files/reporting-CPT-modifier-25.pdf)
Podcast covering Medicare Annual Wellness Visits (www.cokergroup.com/podcasts/episode-122-understanding-annual-wellness-visits-for-healthcare-organizations/)
มุมมอง: 14

วีดีโอ

Episode 123: Decoding Modifier 25: Navigating Documentation and Billing in Healthcare
มุมมอง 12หลายเดือนก่อน
This episode of Coffee with Coker delves into the complex and nuanced topic of Modifier 25, a coding nuance critical for healthcare professionals to understand for billing and documentation. Hosts Erika and Jaci unpack the definition, significance, and proper application of Modifier 25, emphasizing its opinion-based nature and the importance of clear, detailed documentation. They provide exampl...
Episode 122: Understanding Annual Wellness Visits for Healthcare Organizations
มุมมอง 152 หลายเดือนก่อน
In this episode, the discussion focuses on annual wellness visits, IPPE, and their implications for healthcare organizations. The conversation covers the requirements, coding, documentation, and common audit findings related to annual wellness visits. The speakers emphasize the importance of proper documentation, the use of resources, and a team approach to ensure compliance and successful reim...
Episode 121: How Non-Provider Staffing Trends Affect Physician Enterprise Performance
มุมมอง 164 หลายเดือนก่อน
In this insightful podcast for leaders of physician enterprises, we delve into the dynamic landscape of staffing trends within the healthcare sector. The discussion kicks off with a comprehensive exploration of both physician and non-provider staffing trends, providing valuable insights into the evolving workforce dynamics. The conversation then navigates through the intricate factors that cont...
Episode 120: Using Generative AI to Streamline Patient Navigation and Communication with...
มุมมอง 285 หลายเดือนก่อน
Chris Torregosa interviews Louis Sallerson, the CEO of Converse Health, about their generative AI assistant for orthopedic surgery clinics. Podcast Information Follow our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! We welcome all feedback from our listeners. Email us questions on any of the topics we discuss ...
Episode 119: Navigating Patient Demand and Physician Shortages
มุมมอง 186 หลายเดือนก่อน
In this podcast episode, we delve into the critical topic of patient access and operational throughput. With growing demand for medical services and a looming physician shortage, it's essential to reframe patient access as a pivotal aspect of healthcare production, not merely patient satisfaction. Episode Synopsis Join us as we discuss current patient access challenges, highlight key focus area...
Episode 118: How Provider Compensation Design Impacts Performance
มุมมอง 428 หลายเดือนก่อน
This episode delves into the complex world of compensation design within the healthcare industry, focusing on traditional hospital/employed provider models. We explore the common pain points experienced by clients of all types when incentivizing strategic goals. Episode Synopsis Join us as we discuss the various considerations hospitals and health systems face, including concerns about provider...
Episode 117: How to Be Successful with Revenue Cycle Management
มุมมอง 1259 หลายเดือนก่อน
The speakers will break down various areas they review when evaluating the revenue cycle and give examples of how they evaluated and helped clients achieve success around revenue cycle improvement. They will discuss some of the key pitfalls and areas where physician enterprises struggle, and offer advice, regardless of type and size, to consider as you optimize your revenue cycle processes and ...
What is budget neutrality, and how does it affect me?
มุมมอง 2910 หลายเดือนก่อน
"With the budget neutrality adjustments, which are required by law to ensure payment rates for individual services don’t result in changes to estimated Medicare spending, the required statutory update to the conversion factor for CY 2023 of 0%, and the expiration of the 3% supplemental increase to PFS payments for CY 2022, the final CY 2023 PFS conversion factor is $33.06, a decrease of $1.55 t...
Episode 116: Introducing Physician Enterprise Performance Improvement (PEPI)
มุมมอง 2210 หลายเดือนก่อน
This series aims to help physicians and practice administrators enhance their financial and operational performance across various domains. Episode Synopsis In this podcast series designed for physicians and practice administrators, our speakers will provide a deep dive into the reasons behind this series. They will emphasize the significance of performance improvement in healthcare organizatio...
Attention Healthcare Professionals! 3 Categories of Risk
มุมมอง 1110 หลายเดือนก่อน
​As we are halfway through 2023, it is important to be aware of the potential risks that come with the Evaluation and Management (E/M) Guidelines changes. Here are three categories of risks that you should avoid: 1. Reimbursement Risk: The new guidelines will change the way medical billing is done, and there is a risk of reduced reimbursement rates if the new guidelines are not followed correct...
Episode 115: How Does the Physician Compensation Roadmap Look
มุมมอง 4411 หลายเดือนก่อน
Alex Kirkland joins Mark Reiboldt to discuss the state of physician compensation and what the future may hold. Hospitals have competed for physician market share in the post-pandemic world, and the influx of private equity investment alongside rising costs has pushed the survey data approach of funding physician compensation models to unsustainable levels. Episode Synopsis Many external factors...
Two questions medical practices must answer about the E/M guideline changes
มุมมอง 1911 หลายเดือนก่อน
​ ​Two questions to think about if you skipped the 2021 E/M changes: 1. Does your practice perform a lot of inpatient work? 2. Does your practice bill observation codes? The 2023 E/M guideline changes affect these aspects of medical practice. Review your old documentation to see if it still fits within the new guidelines!
Understand the language of how to use the 2023 CPT codes
มุมมอง 2311 หลายเดือนก่อน
Understand the language of how to use the 2023 CPT codes
An Abundance of Options: A Survey of Current Alignment Trends for Physician Enterprises
มุมมอง 97ปีที่แล้ว
An Abundance of Options: A Survey of Current Alignment Trends for Physician Enterprises
Episode 113: Clinical Co-Management Arrangements
มุมมอง 36ปีที่แล้ว
Episode 113: Clinical Co-Management Arrangements
Episode 112: Announcing the 2023 E/M Impact Calculator
มุมมอง 12ปีที่แล้ว
Episode 112: Announcing the 2023 E/M Impact Calculator
Episode 111: The Intersection of Provider Compensation and Value-Based Reimbursement
มุมมอง 12ปีที่แล้ว
Episode 111: The Intersection of Provider Compensation and Value-Based Reimbursement
What if I didn't perform a security risk analysis?
มุมมอง 8ปีที่แล้ว
What if I didn't perform a security risk analysis?
How Upcoming Billing and Coding Changes Influence Healthcare Economics
มุมมอง 142ปีที่แล้ว
How Upcoming Billing and Coding Changes Influence Healthcare Economics
Episode 109: Is Your Advanced Practice Provider Compensation Strategy Successful?
มุมมอง 24ปีที่แล้ว
Episode 109: Is Your Advanced Practice Provider Compensation Strategy Successful?
Episode 108: What is the Precision Experience for Medical Professionals?
มุมมอง 10ปีที่แล้ว
Episode 108: What is the Precision Experience for Medical Professionals?
Episode 107: How will Split/Shared Visits Change Between APPs and Physicians?
มุมมอง 229ปีที่แล้ว
Episode 107: How will Split/Shared Visits Change Between APPs and Physicians?
Episode 106: Developing a Data-Driven Culture
มุมมอง 18ปีที่แล้ว
Episode 106: Developing a Data-Driven Culture
Episode 105: Why do I need cyber liability insurance?
มุมมอง 9ปีที่แล้ว
Episode 105: Why do I need cyber liability insurance?
Episode 104: Determining the Value of Non-Competes and Restrictive Covenants in Healthcare
มุมมอง 21ปีที่แล้ว
Episode 104: Determining the Value of Non-Competes and Restrictive Covenants in Healthcare
Episode 103: What is a Security Risk Analysis, and Why Do I Need One?
มุมมอง 14ปีที่แล้ว
Episode 103: What is a Security Risk Analysis, and Why Do I Need One?
Episode 102: How do you Align Provider Compensation with Health System Goals?
มุมมอง 28ปีที่แล้ว
Episode 102: How do you Align Provider Compensation with Health System Goals?
Episode 101: What are Cash Balance Plans?
มุมมอง 232 ปีที่แล้ว
Episode 101: What are Cash Balance Plans?
Episode 100: How Could Artificial Intelligence Improve the Patient Experience?
มุมมอง 152 ปีที่แล้ว
Episode 100: How Could Artificial Intelligence Improve the Patient Experience?

ความคิดเห็น

  • @KellySimpson-dd2ck
    @KellySimpson-dd2ck วันที่ผ่านมา

    This was very helpful and I will be sharing this with my staff. I had two questions. What is the rule about new E/M patients and modifier 25? Are there separate modifier 25 requirements for emergency departments or is modifier 25 always used?

  • @azppmd
    @azppmd 8 วันที่ผ่านมา

    Appreciate the good audio. Enjoyed the video much better than just audio alone.

  • @mercykisuya7450
    @mercykisuya7450 5 หลายเดือนก่อน

    The Content very nice but the volume very low

    • @CokerGroup101
      @CokerGroup101 2 หลายเดือนก่อน

      Yes, this is an older presentation. We have updated content here: th-cam.com/play/PLTMakyYsdBccQWSz5MRFri-Y37KZuvgsJ.html&si=8rshjf19lXEbmCvn If you need more help or information, please email info@cokergroup.com

  • @rishidas3005
    @rishidas3005 2 ปีที่แล้ว

    Amazing video. THANKS

  • @arimachtinger9328
    @arimachtinger9328 2 ปีที่แล้ว

    This provided literally zero useful information because the speaker took 'we help people by thinking about things' and stretched it into a thousand fluffy, redundant, nonsense words like consultants always do. Say what you mean, don't pretend that it's that complicated, it's not.

  • @lylab9922
    @lylab9922 2 ปีที่แล้ว

    Omg he rambles sooo much...GET TO THE POINT!!!

  • @azppmd
    @azppmd 2 ปีที่แล้ว

    This is a bit late.

  • @echohan3111
    @echohan3111 2 ปีที่แล้ว

    I like the content very much but the audio is not very clear and it's way too difficult for Non-native English speakers to understand

    • @CokerGroup101
      @CokerGroup101 2 ปีที่แล้ว

      I'm glad you enjoy the content. We do have updated content in a different format that may be easier to understand. th-cam.com/play/PLTMakyYsdBccQWSz5MRFri-Y37KZuvgsJ.html

  • @CokerGroup101
    @CokerGroup101 3 ปีที่แล้ว

    We've updated our strategic planning content! You can access the new series here: th-cam.com/play/PLTMakyYsdBccQWSz5MRFri-Y37KZuvgsJ.html

  • @CokerGroup101
    @CokerGroup101 3 ปีที่แล้ว

    E/M and ME: How will the 2021 E/M Coding Changes Impact Medical Practices: ow.ly/9M0u50DwEkH Estimate the Financial Impact with our Calculator: ow.ly/o3g150DwEvm PSA Progression: What's Next in the Evolution of Professional Services: ow.ly/M1PH50DwEvM

  • @tyfenn
    @tyfenn 3 ปีที่แล้ว

    thanks for sharing your insights Mark!

    • @CokerGroup101
      @CokerGroup101 3 ปีที่แล้ว

      Our pleasure! Thanks for listening. Let us know if you have follow-up questions. -Jess

  • @pjgdba306
    @pjgdba306 4 ปีที่แล้ว

    Welcome an update..

    • @CokerGroup101
      @CokerGroup101 4 ปีที่แล้ว

      We're in the process of expanding our social media presence and evaluating all of our channels. We have converted our webinars into a twice-monthly podcast! You can access all of our episodes at www.coffeewithcoker.com, or the most recent strategic planning episode here: cokergroup.com/episode-24-healthcare-strategic-planning-working-now-for-the-future/

  • @elizabethfrey8717
    @elizabethfrey8717 5 ปีที่แล้ว

    It would be nice if there was a link to the white paper which goes with this video or at least the ability to turn captions on.

    • @CokerGroup101
      @CokerGroup101 5 ปีที่แล้ว

      Thanks for the feedback! The latest strategic planning white paper can be accessed here: cokergroup.com/wp-content/uploads/2019/02/Strategic-Planning-for-Healthcare-Organizations_Final_February-2019.pdf

    • @donuts411
      @donuts411 3 ปีที่แล้ว

      @@CokerGroup101 Thank for the white paper pdf. Very helpful!