Confused by the Medicare audit and fraud programs?
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Change is coming to United Health Care
The Advocacy Council has learned that beginning October 1, 2017, United Health Care (UHC) will stop paying for physician visits billed under certain inpatient …
New modification to the “two midnight” rule
Currently, you cannot admit a Medicare patient to an intensive care unit for desensitization to a chemotherapeutic agent or antibiotic because you need to cert…
Sorting out modifier -59 changes
Modifier -59 is not only the most used modifier, but it’s also one of the most abused. Modifier -59 is used to indicate that a procedure or service was distinc…
