Part 1: Discuss the difficulties that can occur if communication with patients isn’t clear. A person’s interpersonal life is dependent on that person’s facility for making his or her thoughts, feelings, and needs to be known to others and on that person’s receptiveness to the attempts of others to share similar data with him or her. Communication, a multifaceted phenomenon, is the result of efforts by individuals toward this end. Communication can be considered in simplistic terms as the sending and receiving of messages, as both elements must be present for communication to take place. However, the fundamental transaction of the message sent and received does not presuppose that communication has occurred. Often, it has only partially occurred or has been aborted entirely as a result of the circumstances surrounding the occasion when the communication attempt was made. These circumstances may be environmental, emotional, …show more content…
In this case, each missed opportunity to report a significant, separately identifiable evaluation and management (E/M) service means a loss of anywhere from tens to hundreds of deserved reimbursement dollars per case. Three key areas of concern for modifier 25, which deals with significant, separately identifiable E/M service by the same physician on the same day of a procedure or other service claims. Radiology practices that heed these critical requirements will improve compliance and reimbursement:

E/M services billed using modifier 25 must be significant, separately identifiable, and above and beyond the usual preoperative and postoperative care associated with the procedure. Under CPT and Centers for Medicare & Medicaid Services (CMS) guidelines, all procedures and services that are from common diagnostic tests to the most complicated surgery include an inherent E/M