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E/M Services with Modifier 25 and Other Part B Services on the Same Date

Presenters: Mary Garden and Leanne Foster
Duration: 60 minutes
Date and Time: Access anytime

$199.00

Course Overview

Billing and Documentation of  an Evaluation and Management (E/M) and other part B services on the same date can be challenging—especially when Modifier 25 is involved. Inappropriate use can lead to claim denials, recoupments, and increased audit risk, while proper application ensures compliance and appropriate reimbursement. This webinar provides a clear, practical breakdown of when and how to report E/M services with Modifier 25 alongside other Part B services. Participants will learn the documentation requirements, common compliance pitfalls, and payer expectations that support medical necessity for separately identifiable E/M services. Provider will get an understanding of when it is appropriate to report E/M services with other Part B services. This session combines real-world scenarios with Medicare guidance to help you confidently navigate same-day billing and reduce claim rejections.

What You’ll Learn:

  • E/M Basics and Overview
  • E/M and Procedure on the Same Day
  • Modifier 25 Definition
  • Significant and Separately Identifiable Services
  • Modifier 25 Documentation Tips
  • Appropriate Use of Modifier 25
  • Inappropriate Use of Modifier 25 and Suggestions
  • Global Surgery and Modifier 59
  • General Principles of Documentation
  • Documentation Requirements for E/M
  • Common Documentation Issues
  • Real Case Examples

Who Should Attend:

  • Physicians
  • Non-Physicians Providers
  • Medical Billing Specialists and Managers
  • Medical Coding Specialists and Managers
  • Medical Auditors
  • Revenue Cycle Manager and Staff
  • Practice Managers
  • Claim Reviewers
  • Office Managers and Administrators
  • Clinical Operations Staff
  • Compliance Officers
  • Qualified Healthcare Practitioners
  • Healthcare Executives, Directors and Supervisors

Don’t miss this opportunity to gain knowledge needed to apply Modifier 25 for E/M services and other Part B services compliantly.

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