Medicare improperly paid physicians for co-surgery and assistant-at-surgery services that were billed without the appropriate payment modifiers. On Nov. 25, the OIG published a review of whether Part ...
Modifiers (usually 2-digits) are added to the main procedure code to signify that the procedure has been altered by a distinct factor. Modifiers are accepted by most payors. Modifiers can increase or ...
The OIG found that incorrect modifier usage led to $4.9 million in overpayments. Now is the time to shore up your revenue cycle as some providers may need to pay for incorrect modifier usage.