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Fracture Care - ER, Urgent Care vs Physician Office

Messages
3
Location
Dallas, GA
Best answers
0
Has anyone else been having an issue where the patient was seen in an ER or Urgent Care center for a one time visit and after being diagnosed then sent to the orthopedic physician for follow-up care and the claim is being denied? I do know about the modifier 55 for follow up care but I don't think the other facility is using the appropriate modifier.
Any suggestions?
 
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