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Medicare Compliance & Reimbursement

Compliance:

Modifier 59 Abuses Lead to $12.5 Million Settlement

Published on Wed Jan 09, 2019

Improper unbundling lands healthcare organization in hot water. Now, that you’ve aced all the latest ICD-10 and CPT® updates, your work is done — right? Wrong. One recent false claims case suggests that being lax about how you report modifier 59 (Distinct procedural service) claims could spell disaster for your practice. Context: Last month, the Department of Justice (DOJ) settled [...]
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