Modifiers -25 and -27 are used in the outpatient facility setting on E/M services. Learn more about how these modifiers should be applied in accordance with coding and Medicare guidelines.
To effectively report opioid use, abuse, and dependence, coding and billing professionals must be able to recognize symptoms of these disorders and interpret detailed ICD-10-CM guidelines. Additionally, they must be able to identify complications associated with opioid misuse and overdose.
A case manager in an ICU at a metropolitan hospital with a large tertiary patient population is tasked with decreasing ICU length of stay by increasing transfers from the ICU to the postacute setting, such as long-term care hospitals or acute rehabilitation facilities.
Q: Our physicians do not have a great query response rate when requests come from coders. What can we do to improve that rate and be more efficient with the query process?
