tci Part B Insider - 2015 Issue 21

Modifier 50: CMS Takes Bilateral Billing Denials up A Notch

Multiple line items could be the death knell to your claims. If you’re reporting your bilateral service claims on two different line items, you’re about to face a stack of denials. That was the word from CMS reps during the agency’s “Medically Unlikely Edits and Bilateral Procedures” podcast on May 21. Medicare claims processors are on the lookout for practices that report their bilateral services incorrectly, and the latest batch of medically unlikely edits (MUEs) will solidify the fact that if you don’t bill it properly the first time, you’ll be spending hours...

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