When RAC contractors start complex reviews of Medicare Part B claims, they will likely hit practices in a weak spot, physicians’ use of CPT modifier -25, according to a report by the RAC Monitor.
John Peter Smith (JPS) Hospital in Fort Worth, Texas, agreed to pay $3.3 million to settle false claims allegations in a case with a hot risk area, a compliance officer-turned-whistleblower and a self ...
As the RAC contractors ready themselves in the bullpen for their entry into complex review of Part B claims, it is expected that physicians will receive many “blasts from the pasts” as part of the ...
More than 100 medical associations have taken issue with a new policy from Cigna regarding claims coded with modifier -25. Cigna is coming under fire for its new policy requiring submission of office ...
On May 27, 2025, HHS Office of Inspector General (OIG) issued a report outlining its finding that Medicare payments for evaluation management (E&M) services provided on the same day as eye injections ...
AAPC’s director of curriculum, Katherine Abel, CPC, CPMA, CEMC, CPC-I, highlighted several “misunderstood modifiers” in the most recent CMA Today, according to an AAPC report. Ms. Abel discussed the ...
Some results have been hidden because they may be inaccessible to you
Show inaccessible results
Feedback