Auditing: Avoid Audit Agony with This Modifier Advice

Why This Topic Matters

Claims involving E/M services and procedures can draw audit attention when global period rules are implicated. Understanding the article helps readers recognize the compliance risk areas discussed by the RAC and the broader billing context for these claims.

Article Sections

1. RAC review and audit focus

   Introduces the audit context and the types of claims under review. It frames the compliance concerns discussed in the article.

2. Three audit scenarios involving global periods

   Summarizes the separate categories of claims being scrutinized across different global period lengths. The section provides the general subject matter for the modifier discussion that follows.

3. Questions on modifier use in an example case

   Walks through a case-based discussion centered on an E/M service and a same-day procedure. The section uses questions to explore the broader modifier concepts addressed in the article.

4. Caution and audit follow-up

   Concludes with a short note about automated review, documentation support, and next steps in the audit process. It emphasizes the article's compliance and audit management focus.