Carriers Targeting -25 Modifier

Separately Identifiable Distraction: Carriers Targeting -25 Modifier

Over the years, we have seen private insurance carriers implement a variety of claims audit programs, each with its own nuances and idiosyncrasies. Although the companies generally announce their plans in advance of implementation, we don’t really know how the new programs, or changes to the old programs, will impact podiatric medicine until the audit notices show up in members’ mailboxes.

Fortunately, the CPMA has a strong organization that is able to react quickly to rectify problems and unfair results that inevitably arise when these audit programs are initially implemented.

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