Modifier 25: Tested Strategies to Ensure Your Practice Bills Compliantly—and Gets Reimbursed

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Modifier 25: Tested Strategies to Ensure Your Practice Bills Compliantly—and Gets Reimbursed

Product Code: YMPDA041923A

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Modifier 25: Tested Strategies to Ensure Your Practice Bills Compliantly—and Gets Reimbursed

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Presented on: Wednesday, April 19, 2023 | 1:00–2:00 p.m. Eastern

Presented by: Edward Leone, CPC, CPC-P, CPMA, CRC, COSC

Recently, practices have faced increasing denials, audits, and claim reviews focused on their use of modifier 25 to separately report an E/M visit with an office procedure. Find out why this is happening and gain tested tools and strategies to unlock appropriate reimbursement.

At the conclusion of this program, participants will be able to:

  • Know the AMA CPT® rules for the use of modifier 25.
  • Determine when an E/M visit may be reported on the same day as an office procedure.
  • Understand payers’ policies for modifier 25 and how they impact provider billing, documentation, and appeals. 


  • Get refreshed on the rules for modifier 25, including when it’s appropriate to append it.
  • Review typical scenarios for when a separate E/M service is appropriate and when it is not.
  • Learn about the latest payer policies regarding separate payment for E/M visits the same day as a procedure.
  • Find out how to reduce denials on the front end and appeal them if necessary.
  • Discover proven strategies to maximize your revenue.

Who Should Listen?

  • Coding and billing managers
  • Office managers
  • Clinicians

Meet the Speaker

Edward LeoneEdward Leone, CPC, CPC-P, CPMA, CRC, COSC, is a coding manager at Connecticut Orthopaedic Specialists in Hamden, Connecticut. He has been a medical coder, biller, compliance consultant, and educator for more than 12 years. Leone has audited evaluation and management, office procedures, and surgeries for multispecialty practices, with a focus on orthopedics. 

Continuing Education

*Coming Soon! 


Webinar system requirements and program materials: 
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer or Edge, Firefox, Chrome, or Safari, with JavaScript enabled 
Internet: Internet connection (high-speed connection recommended) 
Streaming: Access audio/video streaming from any browser on a computer, mobile, or tablet device

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location. 

No problem. The On-Demand version will be available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $199 value! 

Participation in the webinar is just $199 per site. All materials must be retrieved from the Internet.

Call your customer service representative toll-free 800-650-6787 or email if you have questions.