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tci General Surgery Coding Alert - 2004 Issue 1

Avoid OIG Scrutiny

Shore up diagnostic test, modifier -59 claims in 2004 What could be more frustrating than coding a magnetic resonance imaging (MRI) or other diagnostic test perfectly, only to have your claim denied? That's what could happen if a physician who is excluded from the Medicare program ordered the diagnostic test in the first place. But you can prevent this problem by ensuring that all your surgeons are properly credentialed. If your surgery practice owns its own testing equipment, the U.S. Office of Inspector General (OIG), as outlined in its 2004 Work Plan, will be checking to be...

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