Tag Archive | "modifier 59"

Modifier 59 Misuse Cost 1 Health System Millions — Know Where to Go for the Rules

Monday, January 7, 2019

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Exploiting modifier 59 was a major factor in a recent $12.5 million settlement for False Claims Act allegations. How’s that for motivation to shore up your modifier 59 know-how? Here are some resources to get you on your way. Read the Write-Up on the Recent False Claims Act Settlement Find out some of the details […]

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Stay Off CMS’s ‘Outlier’ Radar – Append Modifiers With ABNs

Thursday, September 3, 2015

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You may have wondered whether you really need to bother with appending modifiers when you issue advance beneficiary notices (ABNs), those documents that your patients sign before you provide a required service you believe Medicare will not cover. If you expect a denial for the service, taking time for modifiers may seem unnecessary. Perhaps knowing that the […]

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