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CentaurFraud

The Problems Associated with Modifier 25

FWA issues associated with modifier 25 are not new, Use of Modifier 25 guidance was published by the Office of the Inspector General (OIG) in 2005. (https://oig.hhs.gov/oei/reports/oei-07-03-00470.pdf) The report concluded of the roughly $2 billion allowed for evaluation and management…
WhitehatAI
February 28, 2020
FraudHealthcare ClaimsWaste & Abuse

Managing Telehealth Claims

Telemedicine has significantly grown over recent years, primarily due to evolving technology and consumer demand. It’s anticipated that by 2025, the telemedicine market will have grown to $113.1 billion. In 2018, around 7 million patients in the U.S. accessed telemedicine…
WhitehatAI
April 5, 2019