Did you know that Audit Manager Facility makes it easy for you to conduct audits for any encounter type, inpatient or outpatient, for either coders or providers? It’s true.
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.
Sometimes, when I mention coding and documenting Transitional Care Management, coders and auditors will get a crazy look in their eye that can best be described as, “subtle fear.”
It’s always interesting to hear a doctor’s perspective on compliance, but it’s even more interesting when that doctor happens to be the OIG’s Chief Medical Officer. I had the pleasure of hearing her, Julie Taitsman, MD, JD, speak at the HCCA’s Regional Compliance Conference this May in New York...