tci Part B Insider - 2007 Issue 17

FRAUD & ABUSE: Use Modifiers In Moderation, Or Face Dire Consequences

More than a billion dollars spent on improper consults, watchdog warnsHeads up: Your use of the 25 and 59 modifiers is still on the feds- watch list.Medicare could save $538 million by reducing improper use of the 25 modifier, and $59 million by cutting back on the 59 modifier, the HHS Office of Inspector General (OIG) insists in its 2007 compendium of unimplemented recommendations. More than a third of carriers had not examined your use of the 25 modifier when the OIG issued its report on the subject in late 2005. Also, 15 percent of the time that...

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.