CPCO prep Questions Completely Solved!!

Modifier 25 is used to allow additional payment for E/M services performed by a provider on the same day as a procedure, as long as ____________. -ANSWER The E/M services are significant, separately identifiable, and above and beyond the usual preoperative and postoperative care associated with the procedure. To ensure that Medicare does not incorrectly reimburse the physician for the overhead portion of the payment if the service was performed in a facility setting it is important to have what on the claim? -ANSWER The correct place of service LCDs and NCDs provide information for coverage limited to certain what? -ANSWER Diagnosis codes Medicare requires physicians and mid-level providers to certify the need for physical, occupational, and speech therapy. The first