tci Medicare Compliance & Reimbursement - 2011 Issue 8

Revenue Boosters: Are You Collecting Every Dollar You Deserve? Avoid Leaving Thousands of Your Dollars in Your MAC's Hands

Hint: Modifiers are key to collecting for screening-turned-diagnostic colonoscopy Could your medical practice afford to leave several thousand dollars in your MAC's office each year? That's what some practices are doing by not coding and billing properly. Check out the following three questions and their answers, to determine whether you're collecting every dollar you're owed. Question 1: Your physician discovers several polyps while performing a screening colonoscopy and removes them using the snare technique. Should you report the screening colonoscopy G code or the diagnostic colonoscopy 453xx code to collect for the screening-turned-diagnostic procedure?Answer 1: In this case...

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