The Centers for Medicare and Medicaid Services acknowledges that there are code combinations that may warrant an exception in reporting based on clinical documentation. Coders tend to err on the side ...

The -59 modifier is used to report a “distinct procedural service”. Proper use of the -59 modifier can result in payment for services that are usually denied when performed in the same case. This is ...

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 ...