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Emergency Department Coding & Reimbursement Alert


This Insurer Is Slashing Pay for Modifier 25 Claims

Be ready to see your income cut in half when you bill modifier 25 to this payer. You probably use modifier 25 on many of your claims, but the odds of collecting full payment for this ubiquitous modifier are suddenly sinking. That's the word from Pennsylvania's Independence Blue Cross Blue Shield, which is making drastic reimbursement changes to the modifier. [...]