KZA Alert: OIG Targets Modifier 25

The Office of Inspector General has added a new Work Plan item examining Medicare payments for Evaluation and Management services performed on the same day as minor surgical procedures when Modifier 25 was not appended. In this KZA Alert, we explain why this review matters, what the OIG is evaluating, and the documentation and coding requirements practices should revisit now to reduce audit risk.Whether you're a provider, coder, biller, or practice leader, this episode offers practical reminders on appropriate Modifier 25 use, common compliance pitfalls, and proactive audit strategies to help ensure your same-day E/M claims are accurate, defensible, and supported by the medical record.