tci Medicare Compliance & Reimbursement - 2015 Issue 17

Audits: Avoid the RAC Auditor Spotlight on E/M, Hydration Therapy

Identify when you need to attach modifier 25 to an E/M service. These days, it isn’t a matter of if you will face Recovery Audit Contractor (RAC) scrutiny, but rather when. So now is the time to shore up your coding — but where should you focus? The Centers for Medicare & Medicaid Services (CMS) published some of the RACs’ findings in its July 2015 Medicare Quarterly Provider Compliance Newsletter. Based on that information, if your practice performs E/M visits with pulmonary services, or hydration therapy, you should solidify your coding know-how. Double-Check Your E/M Claims In the...

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