KZA Alerts

The Office of Inspector General has added a new Work Plan item examining Medicare payments for Evaluation and Management services performed on the same day as minor surgical procedures when Modifier 25 was not appended. In this KZA Alert, we explain why this review matters, what the OIG is evaluating, and the documentation and coding requirements practices should revisit now to reduce audit risk.

Whether you're a provider, coder, biller, or practice leader, this episode offers practical reminders on appropriate Modifier 25 use, common compliance pitfalls, and proactive audit strategies to help ensure your same-day E/M claims are accurate, defensible, and supported by the medical record.

Creators and Guests

Host
Olivia Wolf
Olivia J. Wolf, MBA, CPC, is a seasoned healthcare executive with more than 25 years of experience across medical coding, revenue cycle, clinical operations, practice administration, and business development.

What is KZA Alerts?

The KZA Alerts Podcast delivers timely, audio versions of the official alerts published on KZANOW.com. Each episode provides clear, concise updates on critical developments, helping listeners stay informed quickly and reliably - wherever they may be.