tci Medicare Compliance & Reimbursement - 2013 Issue 20

Fact Finder: Keep Your Claims Running Smoothly

Don’t confuse rumors with facts — check them first. If you take every nugget of information that you hear at a seminar or from a colleague as coding gospel, you could be heading down disaster street. Confront these common rumors with reality, to safeguard reimbursement and dodge compliance issues. Know the Modifier 59 Facts Rumor: A practice enquired about modifier 59 (Distinct procedural service), which is one of the most commonly used modifiers. “We were just notified that modifier 59 is no longer accepted by Medicare payers,” she said. “Can you tell us what we...

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