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Around the offices here at Healthicity, our auditors and educators get more questions about Modifier 25 than any other modifier.
The OIG’s most recent audit of an Arkansas Skilled Nursing Facility (SNF) resulted from claim data-mining it had previously conducted.
1. $178,000 Fine for Billing of “P-Stim” Devices -
On January 1, 2015 CMS established a policy for Medicare for chronic care management (CCM) services to be paid under the Medicare Physician Fee Schedule.
1. NJ Doctor Pleads Guilty to $13 Million Telemedicine Fraud Conspiracy -
The OIG’s most recent audit work and the accompanying report outlines how hospitals have been incorrectly reimbursed
1. Texas Doctor Pays $2 Million to Resolve False Claims Allegations -
The OIG recently released some data as it relates to trends in nursing home complaints.