DecisionHealth, DecisionHealth - 2021 Issue 9 (September)

Unbundling is undoing: DOJ orders $3 million fee on bad 25, 59, XU claims

A $3 million settlement of False Claims Act charges stemming from inappropriate use of the modifiers 25 (Significant, separately identifiable E/M service), 59 (Distinct procedural service) and XU (Unusual non-overlapping service) is a warning to keep an eye on habitual use of these modifiers that allow extra charges during patient encounters.

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