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MIPS, Transitioning from PQRS

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With the “end” of PQRS, following Performance Year 2016, comes the transition to MIPS – the Merit-Based Incentive Payment System. MIPS takes effect for Performance Year 2017. MIPS evaluates the quality-of-care provided to patients. There are some notable differences between PQRS and MIPS, two of these being the range of [...]

When is it Appropriate to Use Modifier 25?

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25 Whether you’re a practitioner, medical biller or medical office staff, you’ve surely questioned if the modifier 25 was appropriate on your claim. Here is some basic information to know about modifier 25. Modifier 25 is defined as the modifier appended to an Evaluation and Management (E&M) service indicating [...]