ED Coding & Reimbursement Alert - 2007 Issue 17
Keep An Eye On Your Surgeons' Use Of the 78 Modifier
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Article Overview
This article discusses concerns raised by coding and compliance professionals about payer review of surgeon claims involving a specific postoperative modifier in the context of office and operating room settings. It is relevant to billers, coders, compliance staff, and surgery practices that need to understand how post-op services and payer audits are being discussed in the broader global surgery environment.
Why This Topic Matters
It highlights a compliance area that may attract payer attention and is important for practices reviewing postoperative surgical billing patterns.
What You Will Learn
- The compliance context surrounding postoperative surgical modifier use
- How payer review concerns are being discussed in relation to surgeon claims
- Why Medicare global surgery concepts are relevant to this topic
- What kinds of practices may want to review their billing patterns for this issue
Who Should Read This
- Medical coders
- Billing staff
- Compliance officers
- Surgical practices
- Practice managers
Modifiers Discussed
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