tci Medicare Compliance & Reimbursement - 2015 Issue 13

Bilateral Billing: You Could Spend Hours on Bilateral Service Appeals

CMS confirms a pattern of inappropriate billing using multiple lines to bypass the MUEs. Do you know when to append modifier 50 on claims for two different line items? If not, there’s trouble ahead. Check out what the Centers for Medicare & Medicaid Services (CMS) reps had to say during the agency’s May 21 “Medically Unlikely Edits and Bilateral Procedures” podcast. Medicare claims processors are on the lookout for practices that report their bilateral services incorrectly, and the latest batch of medically unlikely edits (MUEs) will solidify the fact that if you don’t bill it...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.