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Help! We are appending the 26 modifier to thousands of claims b/c the facilities where the biopsy’s come from is supposedly an educational institution. I can’t find a single Medicare policy or guideline on this and neither the VP nor the RCM manager know why we’re doing this. 1/2 of the claims are going out w/ POS 11, which really doesn’t make sense to me.
The RCM manager is basing a lot of this on claims that deny for an overlapping out-patient stay and like much of the above, it doesn’t make sense. What does an overlapping out-patient stay have to do w/ a facilities supposed educational status?
The RCM manager is basing a lot of this on claims that deny for an overlapping out-patient stay and like much of the above, it doesn’t make sense. What does an overlapping out-patient stay have to do w/ a facilities supposed educational status?
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