Ask An Advisor: Understanding Modifier 25 and 57 in Medical Billing and Coding

In this episode of MGMA's Ask An Advisor podcast, we feature Senior Advisor Cristy Good talking about Modifier 25 and Modifier 57 in medical billing and coding. Sources: Cigna to rescind latest modifier 25 policy: https://www.mgma.com/advocacy-letters/april-18-2023-mgma-and-partner-healthcare-stakeholders-urge-cigna-to-rescind-latest-modifier-25-policy-2 2023 Medical Coding and Billing Toolkit; https://www.mgma.com/member-tools/2023-medical-coding-and-billing-toolkit Sponsors: MGMA DataDive: It's time to explore and find the answers you've been searching for with the new 2023 DataDive data sets! The MGMA Provider Compensation and Production data set is one of the most comprehensive data sets in the industry, providing hospital- and physician-owned practice data and compensation benchmarks for medical directorship, on-call, academic and starting salaries. The 2023 data set represents nearly 190,000 providers from 6,800 groups spanning 250 specialties. With this valuable data you can... • Attract and retain the highest-quality providers • Drive more revenue through productivity • And keep costs contained Learn more by visiting mgma.com/datadive CareAllies: Healthcare is complicated. But you don’t have to navigate the complexities alone. CareAllies collaborates with physician organizations to solve some of the toughest challenges on the path to value-based care. As your organization works to effectively manage your more vulnerable patient populations, enhance outcomes, and improve data analytics, CareAllies bring the people, technology, and processes to support you - so you can focus on practicing medicine. Visit www.careallies.com to see how they can help to radically simplify value-based care. Resources: Ask an Advisor: www.mgma.com/ask-an-advisor MGMA Membership: www.mgma.com/membership MGMA Advocacy: www.mgma.com/advocacy MGMA Consulting: www.mgma.com/consulting/overview Mentorship Program: www.mgma.com/membership/landing…rogram-application This episode is sponsored by MGMA Events. If you would like additional tools and resources related to medical practice leadership email us at [email protected]. Thank you again for taking the time to listen to MGMA’s Insights podcast. If you have opportunities you'd like to share with the MGMA audience, go to www.mgma.com/marketing-with-mgma/advertise to find out how you can connect with the MGMA audience. Allied Medical Waste is the premier medical waste and document shredding company for medical groups all over the United States. On average, Allied helps medical groups save up to 50% on their monthly costs. Allied is known for their great service and impeccable response times. Reach out today for a free quote! Allied has a special offer for all MGMA members: the first 2 months FREE of charge!Connect with us at [email protected] or call (801) 328-8581.