tci Part B Insider - 2015 Issue 39

Compliance: CMS: Use Modifiers to Show That Claims Aren't Duplicates

Plus: Watch the calendar when it comes to Medicare screenings. Most practices are aware of the fact that they shouldn’t submit duplicate claims. But what if you really did perform a duplicate service and you deserve to collect for both procedures? CMS spells out what to do in that situation in its latest Medicare Quarterly Provider Compliance Newsletter, which the agency issued to quell instances of inappropriate coding and billing. CMS also found several other issues that its auditors and the RACs have identified as being commonly reported improperly, and the agency outlined it all in the new...

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