Effective January 1, 2027 The American Medical Association (AMA) has released significant revisions to the CPT® Maternity Care Services section that will become effective January 1, 2027. These changes affect how maternity care services are reported and include the...
Community First Health Plans is providing guidance on the appropriate use of Modifier 26 (Professional Component) when billing for diagnostic services. Proper use of Modifier 26 supports accurate claims processing, compliance with CMS billing guidelines, and reduces...
Community First Health Plans is providing guidance on the appropriate use of Modifier 25 when reporting evaluation and management (E/M) services performed on the same date as a preventive medical visit. Proper use of Modifier 25 supports accurate claims processing,...
Community First Health Plans is providing guidance on billing requirements for services performed by a Qualified Rehabilitation Provider (QRP) related to wheeled mobility system and wheelchair seating assessments and fittings. Proper adherence to these billing...
Community First Health Plans is providing guidance on billing and reimbursement requirements for implantable devices for both inpatient and outpatient hospital services. Proper coding and documentation are required to ensure accurate claims processing and to avoid...
Community First Health Plans is providing guidance on coverage and billing requirements for lung cancer screening with low‑dose computed tomography (LDCT). Proper coding and claims submission support accurate claims processing and compliance with Centers for Medicare...
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