Due to the common misuse of this modifier, the Centers for Medicare & Medicaid Services recently issued important new guidance on its proper use.
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A recent $3.5 million settlement illustrates the kinds of pitfalls that can result in liability for hospital and freestanding sleep labs.
CMS has published its list of top 10 most frequently cited Clinical Laboratory Improvement Amendments deficiencies for the previous year.
If the signatures of ordering physicians or non-physician practitioners aren’t legible or done correctly, Medicare may not pay for lab tests.
To guard against reimbursement denials due to improper signatures, labs can give MACs an attestation statement from the physician or NPP.