Meeting Medicare Physician Supervision Requirements
Outpatient services must meet minimum requirements for physician supervision when billed to Medicare, or claims will be denied as not reasonable or necessary. CMS defines three levels of physician supervision:
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Modifier 22
When properly appended to an appropriate CPT code, modifier 22 Unusual procedural service allows the provider (often a surgeon) to recover additional reimbursement, above and beyond the regular payment amount, for an especially difficult or time-cons...
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CMS Offers a Reprieve from
The Centers for Medicare and Medicaid Services (CMS) has rescinded a controversial change to national Correct Coding Initiative (CCI) guidelines. Although interventional radiologists should greet the reversal with enthusiasm, a final decision on the ...
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