MLN Connects for July 15, 2025
This edition includes information on a proposed physician payment rule.
Articles
Article Type
Category
Modifier AI
The principal physician of record appends modifier “-AI” to their initial hospital care or nursing facility visit code. All...
Prior authorization (PA) program for certain hospital outpatient department (OPD) services - submitting the prior authorization request (PAR)
View these submission guidelines when submitting prior authorization requests for certain hospital outpatient department...
Modifier 62 fact sheet
Surgeons append modifier 62 to claims indicating they were co-surgeons on the same patient during the same operative session...
Completing the Medicare CMS-855O enrollment application
View these instructions for the CMS-855O form.
Physician care plan oversight services
Care plan oversight (CPO) is supervision of patients under care of home health agencies or hospices that require complex and...
Do not report more than one unit per date of service for E/M codes
Avoid claim rejects. If you bill E/M codes within the CPT code range 99202-99239, do not report more than one unit per date of...
How to avoid rejects of Medicare and Medicaid crossover claims
Learn how to avoid rejects of crossover claims by ensuring the addresses you have on file with Medicare and Medicaid match and...
Modifier 27 fact sheet
Hospitals may append modifier 27 to the second and subsequent outpatient hospital E/M code to indicate the E/M service is a...
Modifier 25 tips
These tips are based on questions posed regarding whether to bill an evaluation and management visit on the same day as a...