Medicare Compliance & Reimbursement

Industry Note:

Psychiatrist Must Pay Back $908,000 for False E/M Claims

E/M services are a point of contention for many providers, with an oftentimes complex mix of codes and modifiers required to ensure payment. Most physicians innocently send in duplicates or append the wrong modifier, but an Illinois psychiatrist took E/M billing to the next level. The physician was recently ordered to pay CMS back over $908,000 for false claims at [...]
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