In 2010, CPT guidelines told coders they should report an incomplete colonoscopy with modifier -52, which is a reduced services modifier, according to Mr. Cadorette. In 2011, those guidelines have ...

Telehealth has transformed mental health care delivery, but billing complexity is now a major challenge. Incorrect modifiers, place-of-service codes, and missing documentation frequently lead to ...

Editor’s Note: This article by Paul Cadorette, director of education for mdStrategies, originally appeared in The Coding Advocate, mdStrategies free monthly newsletter. Sign-up to receive this ...

UnitedHealthcare, Cigna, and Availity have announced substantial policy and workflow updates for 2026, impacting prior authorization, reimbursement, and compliance requirements across multiple plan ...