tci Part B Insider - 2007 Issue 3

PART B MYTH BUSTER: The Bell Curve Won't Shield You From Modifier 25 Scrutiny

Good documentation is the key to surviving an auditMyth: If you bill mostly 99213s and keep your evaluation & management billing within the -bell curve,- you-ll avoid the heat for using the 25 modifier (Significant, separately identifiable evaluation & management by the same physician on the same day of the procedure).Truth: The HHS Office of Inspector General and other federal watchdogs are sniffing claims with the 25 modifier, regardless of coding level, says Devona Slater with Auditing for Compliance and Education in Leawood, KS. Some providers believe that they can slide under the radar by sticking to...

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.