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tci Part B Insider - 2016 Issue 17
Part B Statistics: Palmetto: 21 Percent of Internal Medicine E/Ms Included Modifier 25
Use this MAC’s data to compare your billings to other internists nationwide.
Ever wonder if your modifier billing patterns are “normal?” Now’s the chance to find out.
Part B MAC Palmetto GBA published a Comparative Billing Report (CBR) in February to illustrate the way that internal medicine specialists used modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service). Palmetto launched the analysis after the OIG targeted modifier 25 as one that is vulnerable to fraud...
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Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.
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