RT Welter
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OIG Audit Backs Medicare Telehealth Integrity

After the significant increase of beneficiaries using telehealth services since the start of the COVID-19 pandemic, audits revealed that some providers posed a high risk to program integrity. Despite these concerns, the audits demonstrate the success of telehealth during the COVID-19 pandemic and the years following. Read more about the audit results and what this…

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Cigna – Modifier 25 Reimbursement Policy

In May 2022, Cigna announced that it would begin requiring the submission of medical records for all claims billed with E/M codes 99212-99215 and a modifier 25 to support an additional separately billable service or procedure on the same date of service. The original Cigna announcement indicated this new rule would go into effect on…

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