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Medicare Compliance & Reimbursement

Industry Notes:

Don’t Let Modifier Snafus Impact E/M Claims

Published on Tue Sep 19, 2023

One Baltimore-based oncology practice learned the hard way that the feds don’t mess around with inappropriate E/M claims. Scoop: On Sept. 12, Frederick Oncology and Hematology Associates, P.C. (FOHA) agreed to pay the government more than $850,000 to settle allegations the firm had inaccurately billed Medicare for E/M claims using the wrong modifier. Between Jan. 1, 2013 and Nov. 1, [...]
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