tci Part B Insider - 2014 Issue 42

Physician Notes: CMS Reminds Practices of 'GW, GV' Modifier Requirements

Plus: Physicians allegedly took kickbacks as incentives to use cardiac products. Recent RAC audits revealed a disturbing trend that CMS would like to see end soon, and it involves physicians billing for care of hospice patients. The topic is outlined in new MLN Matters article SE1321, issued last week. Background: Services related to your care of a hospice patient’s terminal diagnosis are included in the hospice payment, and are not separately billable. Part B will deny any claims submitted for the patient’s terminal care because the payment is already bundled into the payments CMS makes to the...

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