adri3421
Networker
I have an unusual situation I am trying to find clarification on.
I am auditing for surgeons who perform trauma surgeries and then who also serve as hospitalists managing all the patient's other injuries/underlying conditions. They bill all these followup visits using -24 modifier.
It is really hard to separate the postoperative work from the work involved in managing these other injuries/conditions when reviewing the documentation.
Everything is lumped together.
What recommendations should I make to ensure that if a payer reviewed these records the -24 modifier would be deemed appropriate?
I am auditing for surgeons who perform trauma surgeries and then who also serve as hospitalists managing all the patient's other injuries/underlying conditions. They bill all these followup visits using -24 modifier.
It is really hard to separate the postoperative work from the work involved in managing these other injuries/conditions when reviewing the documentation.
Everything is lumped together.
What recommendations should I make to ensure that if a payer reviewed these records the -24 modifier would be deemed appropriate?