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You’re going to get a break when you use a distinct procedure modifier such as 59 or XS to unbundle a coding edit for a Medicare claim.
Improper claims for specimen validity testing may be the latest compliance risk associated with urine drug tests.
Providers operating within the jurisdiction of National Government Services (NGS) should take stock of their recent chronic care management (CCM) claims. You may be seeing errant denials on good claims.
In a move that appears to be prompted by the U.S. opioid addiction crisis, Medicare has launched a national coverage analysis for acupuncture to address chronic low back pain (CLBP).
The QPP program promised bonuses of “up to 4%” in 2019 for clinicians’ reporting achievements in the first year of MIPS performance. But in reality, eligible clinicians are finding that their bonuses are more in the neighborhood of 2% of their Medicare Allowable payments.


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