Provider Training – Modifier 25
Instructor
Brittany Sowards, BA, CPC, CPMA, CCC, CCVTCDescription
This 15-minute webinar focuses on Modifier 25: when, how, and why to use it. You’ll learn to distinguish a significant, separately identifiable E/M service performed on the same day as another procedure, and how to document and bill it correctly.
Key Takeaways
- Understand the purpose of Modifier 25 and how it signals a distinct E/M service on the same day as another procedure
- Identify when and where it may be used: same provider (or same group/specialty) on the same date
- Recognize criteria for a “significant and separately identifiable” E/M service (not inherent to the procedure)
- Apply documentation best practices (e.g. separate note, full E/M components, no overlap)
- Implement strategies for auditing and validating correct use of Modifier 25 in your practice
- Evaluate payer expectations, NCCI edits, and compliance risk when using Modifier 25
Who this course is for
- Providers and clinicians who perform E/M services along with procedural work
- Coders and auditors responsible for validating Modifier 25 use
- Practice administrators, revenue cycle, and compliance leads ensuring defensible billing
Why it matters
- Avoid lost revenue by capturing valid E/M services that are separate from procedural care
- Reduce denials by applying Modifier 25 correctly in accordance with payer/NCCI rules
- Protect your practice from audit issues with defensible documentation and coding
What you get
- 15-minute webinar — focused, practical content you can watch on your schedule
- Transcript & slides available for review and reference
- Insights you can apply immediately to documentation and coding workflows
FAQs
Can I purchase this course individually?
How long is each course in the Training Plan?
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About our Medical Coding Courses
HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a flexible, online education platform designed for today’s coders. With a growing catalog of AHIMA and AAPC-approved coding courses, HIAlearn supports both beginners and experienced coders looking to build confidence, accuracy, and CEU credits.
Courses are available across various coding types including CPT, E/M, ICD-10-CM, and ICD-10-PCS, and are designed for multiple specialties including inpatient, outpatient, profee, and CDI.
To stay up to date, coders can explore our Coding Updates hub for the latest ICD-10-CM, ICD-10-PCS, CPT, and IPPS changes. HIAlearn also supports organizations with group discounts and scalable team access, promoting accuracy, compliance, and continuous professional development across departments.
Overview
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