tci Part B Insider - 2016 Issue 25

Part B Coding Coach: NGS Reviews Show 80 percent of Vascular Study Claims Are Improperly Coded

Here’s an outline of duplex scan coding to help you avoid denials. If you report non-invasive vascular studies, it’s time to take a closer look at your coding. A National Government Services (NGS) prepayment review resulted in that Medicare payer reducing or denying more than 80 percent of claims in January, February, and March. Good news: NGS supplied the reasons for reduction and denial, and we’ve got tips to help you avoid the same fate. Here Are the Codes the Review Focuses On NGS is conducting a service-specific prepayment review for JK Part B claims billed...

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