DecisionHealth, DecisionHealth - 2021 Issue 11 (November)

Audit, monitor, train: Stay compliant as OIG spotlights modifier 25

Pay attention to your billing of E/M services and a minor procedure at the same encounter, because federal auditors are taking notice. In April, the Office of Inspector General (OIG) added a new item to its Work Plan titled “Dermatologist Claims for Evaluation and Management (E/M) Services on the Same Day as a Minor Surgical Procedure.” Despite the title, the application and overall concern about this concept is much broader than dermatology.

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