Posts by Gretchen Case

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Make Haste on Drug Waste with Modifier JW!

JW Modifier: Drug Amount Discarded/Not Administered to any Patient

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Revenue Integrity 101

“Revenue Integrity” within a healthcare system means many different things depending on who you ask, the size of the institution, and if the OIG (Office of Inspector General) has paid a visit or not.

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2015 LAB DRUG TESTING & SCREENING CODES: CHANGES & IMPACTS

As of January 1, 2015, the AMA is overhauling a select group of presumptive testing laboratory CPT codes. This shift moves us from a structure based on an identifying code for type of test performed to one that groups like tests based on number performed [...]

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2015 MODIFIER -59 USE UPDATES

As of January 1, 2015, CMS made changes to how the modifier -59 should be used. Current guidelines result in -59 being used incorrectly on a frequent basis and as a result of this misuse, there is a high risk of overpayment and audit from OIG, RAC, or [...]

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