tci Part B Insider - 2007 Issue 32

AUDITS: Find Hidden Revenue in Common Code Claims

We uncover the top trouble spots that could be lurking in your chartsHeads up: It's not enough to do regular chart audits. You should be focusing on the most common trouble spots--and you could receive a big payoff for doing so.For example: -The billing staff at one [primary-care practice] failed to report any modifiers for office encounters, costing the practice $30,000 in unpaid services that year,- says Curtis Udell, director of compliance and reimbursement with Health Care Advisors Inc. in Annandale, VA.Another audit uncovered im-proper modifier assignment, and the practice had no process to correct...

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