tci Part B Insider - 2018 Issue 3

Compliance: What's On the RAC Hot List? E/M Codes Billed With Procedures

Review guidance on modifiers 24, 25, and 57 before you submit your claims. The popularity of appending modifier 25 can't be denied. It allows you to collect for both an E/M visit and a procedure; however, that doesn't mean it's always appropriate. One recovery audit contractor (RAC) recently identified E/M codes billed with procedures thathave 10- and 90-day global periods as audit areas, which means that auditors will be seeking claims reported this way and contacting practices that billed these services incorrectly. Problem: Performant Recovery announced in January that it will be homing in on claims that violated CMS...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 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

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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