When claims are processed by Medicare carriers, fiscal intermediaries, or Part A/Part B Medicare Administrative Contractors, they are compared against computerized coding edits. These edits include ...

Aetna recently announced that effective September 1, 2025, its Claim and Code Review Program (CCRP) will expand to include additional claim coding edits for all commercial, Medicare, and Student ...

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The -59 modifier is used to report a “distinct procedural service”. Proper use of the -59 modifier can result in payment for services that are usually denied when performed in the same case. This is ...

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