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EM Coding Alert

Mind Your Modifiers:

Save Time By Understanding When to Use Modifier 57

Knowing why a claim with modifier 57 is denied, may help your appeal.  Modifier 57 is under heavy scrutiny from payers, including Medicare. If you aren’t using this modifier correctly, your practice may face denials or owe money back to your payers at audit time. Review two common culprits behind modifier 57 (Decision for surgery) denials and learn what you [...]