Modifier 25

Information About Modifier 25 and Coding

Information and guidance regarding three extremely active payment and compliance issues:

  1. Audit requests regarding OMT services reported on the same date of service as an office visit, along with the use of the Modifier-25.
  2. Audit requests related to coding higher level Evaluation and Management (E/M) services; often linked to the increase in use of electronic health records, and;
  3. Pay-for-performance and other quality recognition programs requirements for physicians to justify any practices that may cause them to be considered practice (cost) outliers.

Downloads:

AOA Letter regarding audits and Modifier 25
AOA Position Paper: Evaluation and Management Services with OMT
CMS-Trailblazer audit tool
Medicare-Modifier 25 Use
Coding Trends of Medicare Evaluation and Management Services

US Department of Health & Human Services
Office of Inspector General report (OEI-04-10-00180)
05-08-2012

 

News

John M. Jones, DO, Awarded AT Still Medallion

The American Academy of Osteopathy (AAO) has awarded the 2021 Andrew Taylor Still Medallion of Honor to John M. Jones, DO, of Petal, Mississippi.

Walter C. Ehrenfeuchter, DO, FAAO, Receives FAAO Distinguished Service Award

Walter C. Ehrenfeuchter, DO, FAAO, of Suwanee, Georgia, received the Fellow of American Academy of Osteopathy Distinguished (FAAO) Service Award.

AOF/AAO Outstanding Resident in OMM Nominations for 2021

Submit your nomination for 2021 Outstanding Resident in OMM by May 9.