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tci Medicare Compliance & Reimbursement - 2022 Issue Q3

Modifiers: Pocket This Primer on Duplicate Claims

Tip: Cut down the chance of denials with repeat modifier smarts. If Medicare denials are piling up at your practice, you need to figure out why. Duplicate claims are a common culprit, but you can sidestep this problem by following a few steps and appending the correct modifier. That was the word from Michelle Coleman, CPC, and Arlene Dunphy, CPC, provider outreach and education consultants, with the Part B Medicare Administrative Contractor (MAC) National Government Services (NGS) in the recent webinar “How to Avoid Duplicate Claim Denials.” Heed their expert advice to make sure you don’t...

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