News
What changed, and what it does to a claim line
Rule changes that move what a line pays or whether it clears an edit, worked through on real codes.
Free first review: 20 claim lines, edit-checked and priced
Send 20 claim lines with names, member IDs and dates removed. Each line comes back with every edit it meets, whether a modifier clears it, and its Medicare price next to what was allowed and paid. Free, back in 5 business days.
CY2027 physician fees, proposed: a 1.68% lower conversion factor and a same-day visit cut
The proposed CY2027 conversion factor is $32.8409, down 1.68%. A proposed rule would pay a same-day visit billed with modifier 25 at 50% next to a global-period procedure. What it does to a real claim.