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Policy guide: Review 2022 CCI Manual edit updates and modifiers

07/04/2022

To stay in line with the latest Medicare coding and billing policies, it’s critical to stay current with the latest version of the National Correct Coding Initiative (CCI) Policy Manual. Doing so will ensure you’re compliant with the appropriate reporting of CPT and HCPCS Level II codes and new modifiers, and following the rules established by the manual can lead to fewer denials.

Expert Q&A: HIPAA audits, cybersecurity, patient record access and more

07/04/2022

by: Rebecca Herold

Question: What are some ways we should prepare for a HIPAA audit from the Office for Civil Rights (OCR)?

Consider payer preferences when debating modifiers LT/RT and 50

07/04/2022

by: Sarah Gould

Question: I am confused about procedure modifiers pertaining to sides of the body and when to use them. What are the main differences between modifiers LT (Left side), RT (Right side) and modifier 50 (Bilateral procedure)?

Cigna revises modifier 25 policy, targets unbundled office visits

07/04/2022

by: Julia Kyles, CPC

Cigna’s plan for unbundled office visits is likely to increase your paperwork and slow reimbursement.

Modifier LT, RT claims outpace bilateral procedures

07/04/2022

by: Richard Scott

Practices were far more likely to report a right- or left-side service over a bilateral procedure in 2020, although they faced a bit more resistance in getting their side-specific claims paid than before.

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