HCPro, JustCoding Outpatient - 2017 Issue 15 (April)

Healthcare News: OIG audit shows 92% of hospitals billed modifier -59 incorrectly for right heart catheterizations

April 10th, 2017

Audited hospitals generally applied modifier -59 (distinct procedural service) incorrectly when billing for outpatient right heart catheterizations and heart biopsies provided during the same encounter, leading to overpayments totaling approximately $7.6 million, according to a March report from the Office of Inspector General.

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