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Medicare Compliance & Reimbursement

Part B Statistics:

Measure Your Critical Care Numbers Against Other Providers'

See whether your E/M claims are on track. Medical necessity determines whether a service falls under the guise of critical care. However, due to confusion over CMS’s criteria for the use of the E/M codes, critical care remains a perennial favorite on Medicare claims auditors’ checklists. A new Comparative Billing Report (CBR) from Palmetto GBA showcases the national statistics on [...]

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