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Physician Advocate Tip of the Month: CPT® Modifier 22 – Reporting & Reimbursement

CPT® modifier 22 increased procedural services allows a provider to gain additional reimbursement for an unusually difficult or time-consuming procedure. To realize that extra payment, your billing staff will have to make a special effort, as well.

Physician Advocate Tip of the Month: Identify Covered California patients who are in months two and three of the Grace Period

Identify Covered California patients who are in months two and three of the Grace Period using the following verification codes

Physician Advocate Tip of the Month: Be aware of the off-exchange products that utilize Covered CA plan networks

Every plan offered in Covered CA must also be offered outside of Covered CA, using the same network. If you see these product names on the ID card, it indicates the patient only has access to the Covered CA network.