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With more doctors being picked up by law enforcement for the consequences of their opioid prescriptions, it’s a good idea to make sure your practice is protected from resulting legal problems.
If your practice is not up to speed on providing equitable treatment to patients with disabilities, you may be running afoul of the law and leaving yourself legally exposed — not to mention providing a disservice to your patient care.
Going forward, you’ll find laxer coding and documentation requirements when reporting home-visit services (99341-99350) after Medicare eliminated the long-standing rules surrounding medical necessity and made it easier for providers to get paid in place-of-service 12 (Home).
Question: Our doctors sometimes have to cancel a procedure because of patient prep non-compliance, patient emergency, a fever, etc. Is it okay to just stick modifier 53 (Discontinued services) on the claim?
Looking at Part B denial rates for modifiers 52 (Reduced services) or 53 (Discontinued procedure), it appears easier to get contractors to buy your reasons for stopping a procedure than your reasons for curtailing it, according to claims data from 2017, the most recent available.


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