Medicare Compliance & Reimbursement

Claim Denials:

Brace for Intensified Scrutiny of 'G' Modifiers

Without standardized procedures, Medicare has overpaid almost $744 million in 2011 alone. The HHS Office of Inspector General (OIG) wants to stop inappropriate payments when MACs allow claims which have a ‘G’ modifier. Read on for the skinny on what’s being targeted. Refresher: The G modifiers are meant to indicate that a denial is expected, which actually paves the way [...]
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