tci Part B Insider - 2012 Issue 30

Recovery Audit Contractors: RAC Sets Sights on Auditing Nerve Conduction Study Code 95904

If you bill more than 3 units at a time, expect an auditor to call.Are nerve conduction studies are routine procedures at your practice? If so, you'll want to keep an eye on how many units you've reported--and double check medical necessity when the physician bills more than three units to ensure that you can pass an audit.Why? Region B recovery audit contractor (RAC) CGI Federal, which handles the audits for seven states, has identified the following issue on its Web site as being under review:"Nerve conduction study CPT® 95904 greater than 3 units billed: According to...

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