DecisionHealth, DecisionHealth - 2013 Issue 7 (July)

Mind your modifiers: Review personally performed modifiers with staff to stop coding mistakes

The HHS Office of Inspector General (OIG) has finished up one investigation of anesthesiologists who broke medical direction rules and is mining Medicare claims data for more mistakes (see story, p. 2). After you’ve reviewed medical direction rules with the staff, go over the modifiers for personally performed services by an anesthesiologist (AA) and services performed by a certified registered nurse anesthetist (CRNA) without medical direction (QZ).

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