tci General Surgery Coding Alert - 2022 Issue Q3

Compliance: Fix Your Duplicate Claim Denial Problem with Modifiers

Look for medically necessary repeats. Sometimes your surgeon or another surgeon repeats a procedure on the same date of service, and that can get you in trouble if you don’t know how to indicate to your payer that you’re billing for two separate, medically-necessary procedures. Read on for tips about how to handle this situation, provided by Michelle Coleman, CPC, and Arlene Dunphy, CPC, provider outreach and education consultants from the Medicare Administrative Contractor (MAC) National Government Services (NGS) in a recent webinar “How to Avoid Duplicate Claim Denials.” Beware These Problems “When a...

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