Stephani Scott
Auditing for E/M Consultation Services has been confusing auditors for years.
Charla Prillaman
You sit down and feel your jaw tighten, your pulse quicken, and your shoulders cramp up like you’ve slept on a boulder all night.
CJ Wolf
On August 3, 2018, the Department of Justice announced a settlement with the physician practice Northwest ENT Associates, in Georgia.
CJ Wolf
The OIG has added new work plan items in July 2018. I’ve detailed the items I find the most interesting below.
Lori A. Cox
For fun, let’s take a short quiz. Would you say that the following scenarios would be coded as a new or established patient?
Stephani Scott
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.
Lara Smith
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.
Healthicity
1. Former Orange County lab Owner Sentenced to 8 Years for Healthcare Fraud –
