DecisionHealth, DecisionHealth - 2018 Issue 9 (September)

Proposed 50% markdown on E/M+25 scenarios means losses for common combos

CMS’ plan in the proposed 2019 Medicare physician fee schedule to cut either a E/M charge or a procedure charge when modifier 25 is used would, if finalized, require some billing changes – and result in varying degrees of loss -- in common scenarios.

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