tci Part B Insider - 2017 Issue 3

Unbundling and Double-Billing Go Hand-In-Hand with Upcoding

Look to modifiers to avoid claims denials in these cases. Coordinated care is at the heart of MACRA’s Quality Payment Program (QPP), and at the heart of coordinated care is bundling. As the CMS Innovation Center continues to put forth more and more bundling packages to maximize quality and physician cooperation, you need take into account these evolving measures to avoid coding errors. Risky business: As bundling continues to be the preferred means of payment with many new CMS initiatives, the desire to unbundle payments for financial gain abounds. However, this has been a long standing problem with...

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.