Healthicity Blog

EXAMPLES OF MODIFIER 59 ERRORS

Your organization is losing money. The OIG HHS reported that nearly 42% of Medicare claims for E/M services are incorrectly coded resulting in $6.7 billion in overpayments.

Auditing for critical care is confusing and takes some serious detective skills. Sherlock anyone?

I have over 30 years’ experience in the healthcare industry. During that time, I’ve experienced workplace stress, boredom, frustration and a whole host of other challenges.

In this episode of compliance conversations, I sat down with Stephani Scott, VP of Audit Services for Healthicity, to chat about her twenty years of experience and pick her brain on important auditing issues.

In November of 2017, I attended the annual AMA CPT and RBRVS 2018 Symposium (Whew! What a mouthful!) in Chicago where I learned a ton about the new and revised codes for this year.

Are you sure that your procedure audits are thorough? Increase audit accuracy and streamline your audit process with procedure checklists.

A patient’s history is a critical component to a physician for determining the etiology of a patient's problem. That’s why a history of present illness (HPI) is required in some form for every Evaluation and Management service.

Modifier 59 is shockingly confusing for coders, auditors and physicians alike. It’s frequently misused, for example, it’s often added as prevention or recoupment of an insurance denial as a way to get additional procedures paid.