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  • Is it illegal to bill different charge amounts to payers for the same service, items, or procedure? I came from an FQHC that stated it is illegal for us to bill payers different charges but I am now working for a DME company. I can not find hard evidence on this. Any help would be appreciated.
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    jmsullivan45
    Anesthesia Coders - Please help - I have a patient who had surgery for hip replacement, returned to his room and later the same day had to return to the OR for a complication with the same surgeon. What modifier would I use in order to get this claim paid? Insurance is denying Modifier 78. Thank you and appreciate any help.
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